Annexation Certificate
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State of Washington
ANNEXATION CERTIFICATE
Office of Financial Management, Forecasting Division, 450 Insurance Building, PO Box 43113, Olympia, W A 98504-3113
IMPORTANT: The following documents must be attached with this certificate (RCW 35 13.260 and 35A.14 700)'
I Three copies of the final ordinance containing the legal description of the annexed area,
2. Three copies ofa map clearly showing annexed area and existing city limits on an 8W'xU" or an 8W'xI4" size paper Outline the
annexation boundaries in red, outlineformer city limits in green. Maps should conform to acceptable engineering standards, including
directional arrow, scale, street designations, rivers, and other relevant physical characteristics; and,
3 _ The original, handwritten Special Population Census Sheets used to enumerate the population and housing of the annexed area and
all census summary sheets. Census procedures and definitions must follow the Office of Financial Management's (OFM) Enumerator's
Manual. Duplicate copies of the census are not needed. Please contact OFM for census manuals and forms at (360) 753~1853
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City/Town ~Clliffi
County TnL:i:."S ten
Name of the Annexation (ifany) H8!3Gan/f...J.sh.o:c
(ANX 978205 YL) Rnlri Hills/Morris Rd.
Statute(s) Authorizing Annexation. RCW
610
1-26-98
1 2-5-98
2 -.1 0 -. 96
2-10-98
351\" 1~, 120
Amending Ordinance Number (if applicable)
Date Passed
Ordinance Number
Date Passed
Date Published
Date Published
Ordinance Effective Date
Annexation Effective Date
Ordinance Effective Date
Annexation Effective Date
Was a Boundary or Annexation Review Board Hearing Required?
Yes
No
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If yes, date ofhearing
Annexation Area (in acres)
U 0 8/3
Population and Housing Census
Housing Units
e
Occupied Housing Units
u
Population
o
CERTIFICATION I hereby certify that, to effect the above annexation, aI/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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Date 3/J 4/ 0; 9
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(Mayor)
[CITY SEAL]
Attest: (City/Town Clerk) f ,
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Date "'I",.. ;'
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(White) Office of Financial Management
(Canary )Department of Transportation
(Pink) Return to City/Town
No Carbon Paper Needed
Do Not Separate Form
Return All Three Copies