Property Owner Signature
YELM ANNEXATION PETITION
ATTACHMENT TO PAGE ONE
[PLEASE LIST ALL PARCELS WITHIN PROPOSED ANNEXATION]
Signature, Date
and Printed Name
Parcel No
Assessor's
Acreage
Value
2:'..{/ls) ~'O ~ j 1/ 3;/ 40/ Od.-
A 71'<\ \\O~ 3:JJ",,,r't3
D. R~
gl)e V\ \ s ~ ~Ocll(' \j u.e
~ 39/to E :<7t
S Sf)(NY) ctW(J' wit 9 <{31 '7
?,~
$ 1~. 400
$
A
D
D
R
E
S
S
$
A
D
D
R
E
S
S
forms\anx (5/92)
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