Annexation Certificate pending
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ANNEXATION CERTIFICATE r~ ~/i
STATE OF W ASH IN GTON ~I
OFFICE OF FINAN CIAL MANAGEMENT
* * See Attached Instructions * *
f tJ--1 21 a--e'lrI --r/j.:...<.---r.<:] I
City or Town ~/ County 7o~
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<I 3 3 (If Applicable) 4f 0 2'
Ordinance Number Amending Ordinance Number
Date Passed 5- 2 -:r ~ "72-- Date Passed 0 (." - c- :::. ~ Cj 3-
Date Published G, - 4 - 1 "L- Date Published 0 t- - 0 I - '7 -3
Ordinance Effective Date G, -, <'J - '7 L- Ordinance Effective Date 0 7-- 0 1- -' 9 ~
Annexation Effective Date t, - '7 ~ ~ 2..- Annexation Effective Date 0 :r~ 0 -::r - c:r .3
Statute(s) Authorizing Annexation (( ~ 3 sf! I J (-; 0 / 0
Was a Boundary or Annexation Review Board Heanng ReqUired? Yes No X
- -
If yes, date of heanng
Annexation Area (in acres) 5 S-t 3 Co ~
Population and Housing Census: Housing Units / 0
Occupied Housing Units I b
Population Z_ g
I hereby certify that, to effect the above annexation, al/ legal requirements have been satisfied, and that the data set forth
in this certificate, including the attached documents, are tme and correct,
Attest:
(Mayor) (Date) (Cityrrown Clerk) (Date)
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Form 170.1 (4/88) Forecasting Division