Annexation Certificate
'.;::I'w..- _."\. .',. )..' ,.r-.
'ii,,,,,,,,.,,.
';t:~~,
...~." ",.
!.;..t'
:,
>if I
I
r
I
I,"
~
~'
'..-'--- ,..,.
<~. f' 1{;~~_'
t~ . ~ ~
Ii:' ;.. ;l
'~'.\."\,,.;, ,i i<:
t ~~ IP:
i -,r
~ ,to
''-''; \.-" v~-.;..I'""..~~;;...."~
"
\.,\ -==,-.f:"I"~:r -.":r'"""""~' .~" '-"-r--..r~-''''''-
"'_#Ci'-''''t:-n
--.'.,"........
.,. :.('
"P':'
"J
;;;,
v: ~
~.:.!.,fiI~~\
No Carbon Paper Needed - Do Not Separate Form
'\
..~~ ;
,
~L ANNEXATION CERTIFICATE
STATE OF WASHINGTON
OFFICE OF FINANCIAL MANAGEMENT
* * See Attached Instructions * *
City or Town v~ 1 m County '!'huJ..' S t on
,. 5 3 4 I (If Applicable)
Ordinance Number Amending Ordinance Number
Date Passed 1 ]. - 2 :2 ... 9 4 , Date Passed
Date Published 1 ? - n 1 ... q 4 J Date Published
Ordinance Effective Date 1 ? _n (.. ~ i!1 f Ordinance Effective Date
-
Annexation Effective Date 1 :2 - 0 6 - 9 43 (J Annexation EffectIve Date
. ~~
\\\"" ".~>'
'" .'
Statute(s) Authorizing Annexation 3 5 A ~ 1 4} 0 1 2 0 i
'.,~
Was Boundary Annexation Review Board Hearing Required? Yes No X
a or - -
.. .",-r.-
, If yes, date of hearing
- Annexation Area (in acres) 6 3 . 1
d 6 t
Population and Housing Census: Housing Units
Occupied Housing Units 5 t
Population 100[ 13 t
I hereby certify that, to effect the above annexation, all legal requirements have been satisfied, and that the data set forth
in this certificate, including the attached documents, are true and correct.
! ,
.v " I
" ~. Attest: , ! : .! , " (,j
, ! / . " -
(Mayor) (Date) (C)tyrrown Clerk) (Date)
...'....... .... ......... .. ... .. ... .. ......... .. ... .. .' .. .. . ...... ..... ...... :
..
Form 170.1 (4/88) Forecasting Division
f~
.~. '.,;
k
,
.,
~;...~~~.......~~L.-~.,J..j~~L~-.;~.w:..,1..l::.' -;
'~_~4..,...._____...-,..:-
~....---~-