Annexation Certificate
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ANNEXATION CERTIFICATE
STATE OF WASHINGTON
'. OFFICE OF FINANCIAL MANAGEMENT
* * See Attached Instructions * *
i Y'e 1m Thurs t; on
City or Town County
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(If Applicable)
Ordinance Number 5,2 9 I Amending Ordinance Number
1 1 -. 0 9 - 9 4 d Date Passed
Date Passed
Published 1 1 - 1 7 - 9 4 , Date Published
Date
Ordinance Effective Date 1 1 - 2 2 - 9 4 I Ordinance Effective Date
Annexation Effective Date 1 3- - 2 2 - 9 4, I Annexation Effective Date
J 5J\ 1 4 1 .2 0 I
Statute( s) Authorizing Annexation 0 0 > -
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Was a Boundary or Annexation Review Board Hearing Required? Yes No X
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If yes, date of hearing
Annexation Area (in acres) 5 0 . .2
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Population and Housing Census: Housing Units 6
Occupied Housing Units 6
Population 1 '7
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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 true and co"ect.
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.. , : , ,. ,f l .."j Attest: , / I t ,
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(Mayor) (bate) (CiiYrrown Clerk) (Date)
Form 170.1 (4/88) Forecastmg DiVIsion
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