Property Owner SignaturesNotice 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.
Property Owner
1A ~ ~~~"
Signature //
Print Name
1B
Signature
Print Name
1C
Signature
Print Name
1D
Signature
Print Name
1E
Signature
1F
Print Name
Signature
Print Name
R:\Forms & Procedures\Annexation\Revised 8-04\Intent Annex.doc
8/04
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Page of
JEWELL
PETITION FOR ANNEXATION
TO THE CITY OF YELM
Parcel Owner Total Value Petitioner Petitioner
Number Name YES NO Value
1 64303200300 Jewell, Kenneth H., and Linda L. $586,700 X $397,800
2
3
Percent approved by petitioners: % X 100%