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RESIDENTIAL - OCCUPIED <br /> PETITION FOR ANNEXATION <br /> TO THE HONORABLE MAYOR AND CITY COUNCIL OF THE CITY OF DECATUR,ILLINOIS: <br /> The undersigned,under oath,respectfully represents as follows: <br /> 1. That he/she is an owner of record,or an elector(person registered to vote)residing therein,of all the property herein <br /> described. <br /> 2. That at least 51%of the electors(person(s)registered to vote)who reside on the property herein described have signed <br /> and do join in the petition. <br /> 3. That the property herein described is not within the corporate limits of any municipality. <br /> 4. That the property herein described is contiguous(adjacent)to the City of Decatur. <br /> 5. That only the following listed adult person(s)(over 18 years of age)reside in the property to be annexed.(Please list <br /> the name of each adult person residing in the property to be annexed, including middle initial.) <br /> k),. i . ki.,711/1 Al <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3969 West <br /> Division Street,and legally described as follows: <br /> LOT 6 EXCEPT THE EAST 113.54 FEET THEREOF THE RESURVEY OF LOTS 8,9 AND 10 OF WEST <br /> SUNNY SIDE HEIGHTS FIRST ADDITION EXCEPT THE EAST 225 FEET OF SAID LOT 8 AS PER PLAT <br /> RECORDED IN BOOK 300,PAGE 327 OF THE RECORDS IN THE RECORDER'S OFFICE OF MACON <br /> COUNTY, ILLINOIS. SITUATED IN MACON COUNTY,ILLINOIS. <br /> PIN #_04-12-07-253-001_ <br /> WHEREFORE,petitioner(s)request(s)the above described property be annexed to the City of Decatur, in accordance <br /> with the Statutes in such case made and provided. <br /> C.;-,;". SIGNATURE PRINTED NAME STREET ADDRESS, CITY, STATE <br /> ..,. t:4'1 / i_7. 77%GGP / tve'1 i' . Z'L01114,I 2y6.(1 id h'1c1_Sil'A-`l. l f'i t4),-. <br /> Signed and sworn to before me this day of �i�eiriba' ,20 ,v 5 <br /> t <br /> . ,. , <br /> #. k /?th//_ L ) <br /> • • .:.: ::i. <br /> T E IP - ,. Notary Public <br /> (Rev. 12/2014) 04 •i h`f' ;1,1ii.Ex *'a�` ' J •iv; <br /> viral <br /> .,..�, . OFFICfAL SEAL <br /> TARA R. BACHSTEIN <br /> Notary Public-State of Illinois <br /> My Commission Expires 5/12/2027 <br /> Exhibit A <br />