Sample Local Government Document B45 anx not03

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Sample Local Government Document B45 anx not03 Powered By Docstoc
					 

PLANNING AND COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division 210 Lottie Street, Bellingham, WA 98225 Telephone: (360) 676-6982 Fax: (360) 738-7306 TTY: (360) 676-6883        

NOTICE OF INTENT TO ANNEX
DECLARATION • We, the undersigned, are owners and/or residents of real property lying outside of the corporate limits of the City of Bellingham, Washington, but contiguous thereto and designated as part of the Bellingham Urban Growth Area. A legal description and map of this area are attached to this notice. We, the undersigned, owning acreage in excess of 10% of the total area or representing 10% of the residents of the described area, do hereby declare our intention to circulate a petition for annexation to the City of Bellingham, Washington. It is acknowledged that this petition may consist of multiple documents filed independently.

•

AUTHORIZATION Printed names and signatures of all persons having an interest in, or being residents of, real property in the described area whose consent is required by virtue of such interest to authorize the filing of this notice are hereto attached. Printed Name of Property Owner or Resident Physical Address of Property or Resident Property Owner Acreage Signature of Property Owner or Resident Date Signed

*Note: If additional space is needed, please obtain and use an additional “Notice of Intent” form

FOR STAFF USE ONLY TOTAL AREA OF PROPOSED ANNEXATION: _______ Acres PERCENT OF TOTAL ACREAGE BY SIGNATURE _______ %


				
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posted:5/18/2008
language:English
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