Annexation Certificate
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State or Washlllfton
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ANNEXATION CERTIFICATE
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Office of Financial Management, Forecasting DivisiOlr; 450 Insurance Building, PO Box 43 113, OlympIa, W A 98504-3 113
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IMPORTANT: The following documents must be attached with this certificate (RCW 35 13.260 and 35A.I4 700)'
1 Three copies ofthe final ordinance containing the legal description of the annexed area,
2. Three copies of a map clearly showing annexed area and existing city limits on an 8W'x 11" or an 8W'xI4" size paper Outline the
annexation.boundaries in red, outline/ormer 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 origiIJal, handwritten Special Population Census Sheets used to enumerate the population and housing of the annexed area ~nd
all census summary sheets. Census procedures and definitions must follow the Office of Financial Management's (OFM) Enumerat'or's
Manual. puplicate copies of the census are not needed, Please contact OFM for census manuals and forms at (360) 902-0597
City/Town Ye 1m
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Thurston
County
Name o/the Annexation (if any)
BH & PI V. Hall, ~. Sartain (ANX978208YL)
Ordinance Number
627
8-12-98
8-20-98
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Ordinance Effective Datt!
Annexation Effective Date
Amending Ordinance Number (if applicable)
Date Passed
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Date Passed
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Date Published
Bate Published
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Ordinance Effective Date
8-25-98 f
Annexation Effective Date
Statute(s) Authorizing Annexation, RCW 3 SA. 14 . 120
Was a Boundary or Annexation Review Board Hearing Required? Yes
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No 00. "ijyes. date o/hearing
Annexation Area (in acres)
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Population and Housing Census
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HdEsing Units
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62;5
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Occupied Housing Units
Population
CERTIFICA TION I hereby certify that, to effect the above annexation, all/ega/ requirements have been satisfied, and that the data set
forth in this certificate, including the attached documents, are true and correct.
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(Mayor/, /Jt./ ~/ ,< Date I
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[CITY SEAL] ')
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Attest: (City/TOlJm Clerk) I i/ f I/..I. /( , Date Ij jjj J 4 a
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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
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