Property Owner Signature
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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
c:::---
Donald Miller 217-13-330200
~~~ IL ~~
~ P. O. Box~ <S:
D
R Yelm, WA 98597
1.43
$16,000
.-
t:
S
S
$
A
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E
S
S
$
A
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forms\anx (5/92)
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