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RESIDENTIAL - NOT OCCUPIED <br /> PETITION FOR ANNEXATION <br /> TO THE HONORABLE MAYOR AND CITY COUNCIL OF THE CITY OF DECATUR, <br /> ILLINOIS: <br /> The undersigned, under oath, respectfully represent as follows: <br /> 1. That he/she is an owner of record of all the property herein described. <br /> 2. That there are no electors who reside on the property herein described. <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 the petitioners) request(s) that the City of Decatur, annex the property commonly <br /> described as 2209 Mesa Drive, and legally described as follows: <br /> LOT SEVEN (7) OF LAKEWOOD HEIGHTS SUBDIVISION, AS PER PLAT <br /> RECORDED IN BOOK 300 PAGE 318 OF THE RECORDS IN THE RECORDER'S <br /> OFFICE IN MACON COUNTY, ILLINOIS. SITUATED IN MACON COUNTY, <br /> ILLINOIS. <br /> PIN #17-12-36-202-001 <br /> WHEREFORE,petitioner(s)request(s)the above described property be annexed to the City of Decatur,in <br /> accordance with the Statutes in such case made and provided. <br /> 5_4: :AQP PRINTED NAME STREET ADDRESS, CITY,STATE <br /> dr <br /> ;- .. ./iss..Q putsn.,\. 1 I ci ? 13•e-AftAa 0 <br /> F ,'nntL,r f f (QzCD <br /> Signed and sworn to beforeday of ,20 Lb <br /> CSL - CdtIe r i <br /> Notary Public <br /> 0 OFFICIAL SEAL i <br /> (Rev. 12/2014) 1 TARA R. BACHSTEIN 0 <br /> 4 Notary Public-State of Illinois <br /> 4 My Commission Expires 5/12/2027 1 <br /> Exhibit A <br />