Annexation Certificatef STA7E
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State of Washington
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ANNEXATION CERTIFICATE
Office of Financial Management, Forecasting Division, 450 Insurance Building, PO Box 43113, Olympia, WA 98504-3 1 1 3
IMPORTANT: The following documents must be attached with this certificate (RCW 35.13.260 and 35A.14.700):
1. Three copies of the final ordinance containing the legal description of the annexed area;
2. Three copies of a map clearly showing annexed area and existing city limits on an 8'/z"x1.1" or an 8'/~"x14" size paper. Outline the
annexation boundaries in red; outline former city limits in green. Maps should conform to acceptable engineering standards, including
directional arrow, scale, street designations, rivers, and other relevant physical characteristics; and,
3. The original, handwritten Special Population Census Sheets used to enumerate the population and housing of the annexed area and
all census summary sheets. Census procedures and definitions must follow the Office of Financial Management's (OFM) Enumerator's
Manual. Duplicate copies of the census are not needed. Please contact OFM for census manuals and forms at (360) 753-1853.
City/Town Y::lth County ^hurston
Name of the Annexation (ijany)
Ordinance Number $ ~ j Amending Ordinance Number (ijapplicable)
Date Passed J u l v 1 ~ 2 0 0 5 Date Passed
Date Published J u l y 2 9. 2 0 0 5 Date Published
Ordinance E,Jj"ective Date ~~ t~ G } G ' 7 n n ~, Ordinance EJj"ective Date
Annexation Effective Date ~~ l~ ~ }. 4 ~ 2 n n 5 Annexation E~jective Date
Statute(s) Authorizing Annexation: RCW s c, A_ 1 4_ l ~ n
Was a Boundary or Annexation Review Board Nearing Required? Yes No ~~ Ijyes, date ojhearing
Annexation Area (in acres) 10 A c r 2 s Population and Housing Census:
Housing Units 0
Occupied Housing Units n
~ Population n
CERTIFICATION: I hereby certify that, to effect the ov nnexation, all legal requirements have been satisfied and that the data set
forth in this certificate, including t e a hed d ments, are true and correct
1 - - -
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(Mayor) 'Date i`. ~ ~ `'~ -~.
[CITY SEALJ /!~i -
Attest: (City/Town Clerk) ~ Date G ` ~ ~ )
(White) Office of Financial Management No Carbon Paper Needed
(Canary)Department of Transportation Do Not Separate Form
(Pink) Return to City/Town Return All Three Copies
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f. - ~= State of Washington
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ANNEXATION CERTIFICATE
Office of Financial Management, Forecasting Division, 450 Insurance Building, PO Box 43113, Olympia, WA 98504-3 1 1 3
IMPORTANT: The following documents must be attached with this certificate (RCW 35.13.260 and 35A.14.700):
1. Three copies of the final ordinance containing the legal description of the annexed area;
2. Three copies of a map clearly showing annexed area and existing city limits on an 8'/~"xl.l" or an 8'/:"xl4" size paper. Outline the
annexation boundaries in red; outline former city limits in green. Maps should conform to acceptable engineering standards, including
directional arrow, scale, street designations, rivers, and other relevant physical characteristics; and,
3. The original, handwritten Special Population Census Sheets used to enumerate the population and housing of the annexed area and
all census summary sheets. Census procedures and definitions must follow the Office of Financial Management's (OFM) Enumerator's
Manual. Duplicate copies of the census are not needed. Please contact OFM for census manuals and forms at (360) 753-1853.
City/Town Y:.Im County Thurston
Name ojthe Annexation (ijany)
Ordinance Number $ ~ 1 Amending Ordinance Number (ijapplicable)
Date Passed J u l y 1 ~. 2 0 0 5 Date Passed
Date Published J u l y 2 9. 2 0 0 5 Date Published
Ordinance Effective Date ~~ t~ G t G , ~ n n ~i Ordinance Eljective Date
Annexation Effective Date ~~ t~ a t. 4 ,_ ~ n n ~ Annexation Effective Date
Statute(s) Authorizing Annexation: RCW ~ c, A _ 1 4 _ 1 ~ n
Was a Boundary or Annexation Review Board Hearing Required? Yes No ~_ Ijyes, date ojhearing
Annexation Area (in acres) 10 A C r 2 S Population and Housing Census:
Housing Units 0
Occupied Housing Units n
Population n
CERTIFICATION: I hereby certify that, to effect the. ov nnexation, all legal requirements have been satisfied, and that the data set
forth in this certificate, including t e a hed d menu, are true and correct.
_.__.._
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(Mayor) ~ I ~ `Date i; l
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CITY SEALJ ` :, j~ /~~i
Attest: (City/Town Clerk) ,(J Date G' ~ -
(White) Office of Financial Management No Cazbon Paper Needed
(Canary)Depariment of Transportation Do Not Sepazate Form
(Pink) Return to City/Town Retttrn All Three Copies
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f. - State of Washington
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ANNEXATION CERTIFICATE
Office of Financial Management, Forecasting Division, 450 Insurance Building, PO Box 43113, Olympia, WA 98504-3 1 1 3
IMPORTANT: The following documents must be attached with this certificate (RCW 35.13.260 and 35A.14.700):
1. Three copies of the final ordinance containing the legal description of the annexed area;
2. Three copies of a map clearly showing annexed area and existing city limits on an 8'/:"x1.1" or an 8'/z"x14" size paper. Outline the
annexation boundaries in red; outline former city limits in green. Maps should conform to acceptable engineering standards, including
directional arrow, scale, street designations, rivers, and other relevant physical characteristics; and,
3. The original, handwritten Special Population Census Sheets used to enumerate the population and housing of the annexed area and
all census summary sheets. Census procedures and definitions must follow the Office of Financial Management's (OFM) Enumerator's
Manual. Duplicate copies of the census are not needed. Please contact OFM for census manuals and forms at (360) 753-1853.
City/Town Y ~ l m County ^h u r s t o n
Name ojthe Annexation (if any)
Ordinance Number $ 31 Amending Ordinance Number (if applicable)
Date Passed July 14 . 2 0 0 5 Date Passed
Date Published J u l y 2 9, 2 0 0 5 Date Published
Ordinance E,~j-ective Date p t~ ~~ G {- ~ ~ ~ (1(1 c, Ordinance E1J'ective Date
Annexation E~j"ective Date Au y u G t 4, 2 n n~ Annexation Effective Date
Statute(s) Authorizing Annexation: RCW } r, A _ 1 4 _ 7 ~ n
Was a Boundary or Annexation Review Board Hearing Required? Yes No X_ Ijyes, date of hearing
Annexation Area (in acres) 10 A C r 2 s Population and Housing Census:
Housing Units 0
Occupied Housing Units n
~ Population 0
CERTIFICATION: I hereby certify that, to effect the.
forth in this certificate, including t
(Mayor)
(CITY SEALJ
Attest: (City/Town Clerk) L .
(White) Office of Financial Management
(Canary)Department of Transportation
(Pink) Return to City/Town
all legal requirements have been satisfied and that the data set
rents. are true and correct.
-Date i, i ~ `J
~ 1~~ ~i,1, i/' ~ ~ Date G'~ -, ~.
No Carbon Paper Needed
Do Not Separate Form
Return All Three Copies