Property Owner Signature
Notice of Intent To Commence Annexation Proceedings
WARNING
Every person who signs this petition with any other than his true name, or who
knowingly signs more than one of these petitions, or signs a petition seeking an election
when he is not a legal voter, or signs a petition when he is otherwise not qualified to
sign, or who makes herein any false statement, shall be guilty of a misdemeanor
1A
Property Owner
~J ~'4~'
Signature
LE/VrJlf.E C, 6'1 A. IV E.
Print Name
,:) ;2 73 tJ tj. -<' t) / cJ 0
Parcel No
4,j1
Assessor's Acreage
f 6 !,sotJ. c>O
Assessor's Value
18
Parcel No
Signature
Assessor's Value
Print Name
Assessor's Acreage
1C
Parcel No
Signature
Assessor's Acreage
Assessor's Value
Print Name
10
Signature
Print Name
1E
Signature
Print Name
1F
Signature
Parcel No
Assessor's Acreage
Assessor's Value
Parcel No
Assessor's Value
Assessor's Acreage
Parcel No
Print Name
Assessor's Acreage
Assessor's Value
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