HomeMy WebLinkAboutOrder 022 - Accept Petition - Alfalfa Fire DistrictDeschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 -Fax (541) 385-3202 -www.deschutes.org
AGENDA REQUEST & STAFF REPORT
For Board Business Meeting of May 29, 2013
Please see directions for completing this document on the next page.
DATE: May 22, 2013.
FROM: Laurie E. Craghead. Legal Phone # 6593
TITLE OF AGENDA ITEM:
Consideration and Approval of Order 2013-022 accepting a Petition for the Formation of the Alfalfa
Fire District and Setting a Hearing Date.
PUBLIC HEARING ON THIS DATE? No
BACKGROUND AND POLICY IMPLICATIONS:
On May 3, 2013, citizens from the Alfalfa area submitted a petition to form the Alfalfa Fire District in
the Alfalfa area. The purpose of the district is to provide fire protection to the residents of the Alfalfa
area. On May 13,2013, the County Clerk verified the signatures and the Petition is deemed filed.
ORS 198.800( 1 )(b) requires the first of two hearings to be set not less than 30 nor more than 50 days
from the date the Board initiates the formation proceedings. This order sets that date at June 26,2013,
the first and last date that is available, given the Board's schedule and the statutory notice requirements.
FISCAL IMPLICATIONS:
If the district is not formed, the Chief Petitioner will be billed for the County's costs in the attempted
formation; if the district is formed, the District will be billed for the County's costs in the formation.
RECOMMENDATION & ACTION REQUESTED:
Approval of Order No. 2013-022 as described above.
ATTENDANCE: Laurie E. Craghead.
DISTRIBUTION OF DOCUMENTS:
Copies to the Legal Department.
For Recording Stamp Only
BEFORE THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON
Order Accepting a Petition for Formation of *
Alfalfa Fire District and Setting a Hearing * ORDER NO. 2013-022
Date *
WHEREAS, a petition requesting formation of Alfalfa Fire District has been duly filed
with the County on May 13, 2013, a copy of which petition is attached hereto as Exhibit A
and by this reference incorporated herein; and
WHEREAS, the Deschutes County Assessor's Office has verified that the formation
petition was signed by a sufficient number of landowners to allow acceptance of the petition,
and the petition is otherwise in the form required by law; and
WHEREAS, ORS 198.800 requires the county board to set a date for a public hearing on
the petition no sooner than 30 days and no later than 50 days from the date of filing with
published and posted notice; and
WHEREAS, the next available hearing date within that timeframe is June 26, 2013; and,
now, therefore,
THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY,
OREGON, HEREBY ORDAINS as follows:
Section 1. That the formation petition for Alfalfa Fire District, a copy of which is
attached hereto as Exhibit A, is hereby accepted for filing.
Section 2. That an initial hearing regarding formation of the district shall be held on
Wednesday, June 26, 2013 at 10:00 am at 1300 NW Wall Street, Bend, Oregon.
Section 3. Notice of Hearing shall be given in substantially the form set forth in Exhibit
"B," attached hereto and by this reference incorporated herein. The recording secretary shall
cause the notice to be published in The Bulletin on June 10, 2013 and June 20, 2013 and
posted June 10, 2013, in three public locations within the county as follows: One notice shall
be posted on or near the doors of the meeting room of the Board of County Commissioners;
one notice upon any official bulletin board customarily used for the purpose of posting public
notices within the county; and one notice shall be posted upon any official public bulletin
board customarily used for the purpose of posting public notices within the proposed district.
Notices posted shall be for not less than five (5) consecutive days.
PAGE 1 OF 2-ORDER No. 2013-022 (05/29/13)
/II
Section 4. The Director of the Deschutes County Community Development Department
shall cause to be filed with this Board prior to June 26, 2013, a land use compatibility statement
regarding this proposed special district formation as contemplated in ORS 197.175 and 199.462,
and any other applicable statutory authority.
Dated this of ,2013----BOARD OF COUNTY COMMISSIONERS
~--
OF DESCHUTES COUNTY, OREGON
ALAN UNGER, CHAIR
TAMMY BANEY, VICE CHAIR
ATTEST:
Recording Secretary ANTHONY DeBONE, COMMISSIONER
PAGE 2 OF 2-ORDER No. 2013-022 (05/29/13)
PETITION FOR FORMATION OF SPECIAL DISTRICT
ALFALFA FIRE DISTRICT
TO: The Board of County Commissioners
Deschutes County, Oregon
1. The undersigned petitioners hereby propose formation of a fire district and in furtherance
thereof do hereby join in this petition;
2. This petition is filed pursuant to ORS 198.705 to 198.955. The principal Act for the district is
ORS 198.010 -(1114) A Rural Fire Protection District under ORS chapter 478.
3. The purpose of the proposed district is to organize for rural fire protection for property
within the district, enter into mutual aid agreements, apply for grants, train members,
educate the public, purchase and maintain necessary equipment, land, and structures as
required for operating a fire district and department, and provide emergency medical
assistance.
4. Said formation affects Deschutes County (approximately 70% by land mass) and Crook
County (approximately 30% by land mass) within the boundaries of the proposed district.
5. The territory subject to this petition is Inhabited.
6. The board of commissioners (directors) will comprised of 5 commissioners and the initial
commissioners are to be elected.
7. A proposed permanent tax rate suffiCient to support the services and functions described in
the economic feasibility statement is the amount of $1.75 per $1000 of assessed value.
8. A description of the boundaries of the territory to be included in the district is attached as
Exhibit "A" and depicted on the map attached as Exhibit liB", both documents being
incorporated by reference herein.
9. The chief petitioners circulating this petition are:
Carolyn R. Chase Robert M. Kathman Margot Barron
24918 Bachelor Lane 62900 Deschutes Rd. 62311 Dodds Rd.
Bend, OR 97701 Bend, OR 97701 Bend, OR 97701
10. Petitioners request that proceedings be taken for the formation of a special district
proposed to be named ALFAlFA FIRE DISTRICT.
DATED this 14th day of March, 2013.
Signatures of Petitioners:
Page 1 of 59 -EXHIBIT A TO ORDER 2013-022
EXHmITA
Alfalfa Fire District
Proposed Boundary Description
The boundary of the Alfalfa Fire District is as follows:
Beginning at the Northwest comer of Section 5, Township 17 South, Range 14 East,
Deschutes County,
thence East to the Northeast corner of Section 4, Township 17 South, Range 15 East,
Crook County;
thence South to the Southeast comer of Section 9, Township 18 South, Range 15 East,
Crook County;
thence West to the Northeast comer of Section 16, Township 18 South, Range 14 East,
Deschutes County;
I
thence South to the Southeast I/.« of the Northeast 1,4 of Section 16, Township 18 South,
Range 14 East, Deschutes County;
thence West through the center of Section 16 to the Southwest 114 of the Northwest Y4 of
Section 16, Township 18 South, Range 14 East, Deschutes County;
thence North to the Northwest corner of Section 16, Township 18 South, Range 14 East,
Deschutes County;
thence West to the Southwest comer of the Southeast 114 of the Southwest 1,4 of Section 8,
Township 18 South, Range 14 East, Deschutes County;
thence North to the Northwest corner of the Northeast 114 of the Southwest 114 of Section 8,
Township 18 South, Range 14 East, Deschutes County;
thence West to the Southwest comer ofthe Northwest 114 of Section 8, Township 18
South, Range 14 East, Deschutes County;
thence North to the point of beginning at the Northwest corner of Section 5, Township 17
South, Range 14 East, Deschutes County.
I
Page 2 of 59 -EXHIBIT A TO ORDER 2013-022
31
6
32
5
Proposed Alfalfa Rural Fire Protection District
7 m8
"."
1
131 32 33
R15E
15
18
Key
i
9
17
Proposed Fire District Boundary
Deschutes Roads
Crook Roads
Canals
Deschutes County Taxlots
Crook County Taxlots
piss
County Boundary
Public Land
34
6 5 4 3
9 10
15
21 22
28 2"1
33 34
6 5 4 :3~ c:
::l
0
()
..;,::
0
0 '
l) -, 8 9I 10
(j)
<.0
T
I
18 17 16 15
Miles
3 4
3 •••m ••••<;!..~
~"':
:3 ~ 2 c
::l
0
()
III
(])-::l .r::: u
III10 (])11 12 0
14 13
o 2
1:70,000
Printed: March 11, 2013
The inllcNn!lllCill on thillTlllP was derived from clgtaI diabases on
o.ctIUIIII c-.y. GJ.S. Cera MlstakBll In the c:raallan of this
1NIp, IIUII " ~"as is". o.sdlutes CClIJnty cannot Recap! any
..~...".., onillionl. or potiti.cnllIaccunlCY in the cigul
....."'~ng..:ocrdls. There.,e nowlII"nmtill$, ""pnt$$ or
IrnpIM, .....lit _My of merchan:ablllIy or 1IbI.", fOr •
..........,....... -....ring tis prociu:1. Howe_. ncti.cation
of fnI-'"MIIIIII'I.W.
PARTITION PLAT NO. 2005-47
\
IA/~M1
I 10
15
II-4
I
Page 40[59 -EXHIBIT A TO ORDER 2013-022
NAME OF DISTR1CT: Ai-r~~ f\t Y<-]):'1-rtd ('look-G.
----::-::-=------'lrD)jA~Tn:E~ PROPERTY ADDRESS! ,------------:P:::RI~NT NAME SIGNED RESIDENCE ADDRESS
(If Different)
r£K&'A dtItJ[lY' U&JStd~&'. h#I Print Name PROPERTY ADDRESS
~~ i S/:J1r1'
I sc:natUre-RESIDENCE
~
ADDRESS (If Different)
2 ~ley tV. 1Z.\.(;.. h"..,Jr
PROPERTY ADDRESSP'~AV'ft'd/' Date ~ .., t:1-).'/~ 1_ ~_9'5?Y7 :?bI ~;(-9.r'/C/I
~arurer
3 , '1'1(1' /l w s1i;b :Ii;{fk£k~ K"'4"re uM('lJ1 __ n <5'~!,-=::i""( L",14( )
rmt ame -l
___
~~~ Date '(;Iw<.
I Signature RESIDENCE ADDRESS (If Different)
4 Go~J "'.. Pu.k:)1 $ .VJ.O -\~ I J.j 17~ .5 W 51'~5/c.!iJe.
Prmt Name PROPERTY ADDRESS ~ /)!~k ~~ 5a.Ae.
Signature __._,,____ RESIDENCE ADDRESS (If Different)
" . "j") \ ~\'\~ '>g rec\<.ih5> ~...').O-~'317'3 S\-&l. s.:\4b~lV\
Prmt Name PROPERTY ADDRESS
Date
f I~~]~
l___---.LSil;fnature ~___,_ RESIDENCE ADDRESS (lfDlff~~rit)
vfFICiAl SEAL
GeOFiGiA ANN SPRINGER
NOTAIlY PUBUC-OREGON
COM', ::>SION NO. 458914
F"YPiRES
fN THE PROPO~ED
TERRil ORY!
REGISTERED
VOTER IN
THE PROPOSED ;§HTERRITORY ~ ~'1.1'1 ~ i ,;:r"rr)1 ' ;"'1 ~--":...,
..0 C Vi'
SM ~I !
C'*0Ii'~ <> :::1 ~.::dOl~Y M'I~~ Acrcagc~
No-RcgisCereli Voter I~~ N ~-!:! NYc~X c::No --o•i!' MPre -rr '0'"
l.andowner ~~s-X-
AcrcagciO
R<g;",,'" v""Ycs~NoIPre z:r
oLand~<ner N Ycs.A--d 1~ zNo ___ e3
Acreage ~ 'u :'E o
RegisicrCi1 Voter • ~ ~ ex:
Yes X' -=.g o
No --~.~
Pre ,13;13
..(
!~~'l<",," ':,i ' J -COt\Cr~ ~ . $it ,§j, E2 Registered Voler ~~J~~ ,\;/) rii~~sX-P: ~~ ':'t1
Pre !:..: --:;: _~ is'l 0'
'
~ L:lndowner I,. , (J <:. ~ ~'
o~~s v -~; ::f;1~i ~(\YI ~ i\crcagc~ '0 'i ~ g ~\--r
1
(\)IR~gistuC'iJ"'\iOicr ~ <_I....st ,j§ a
Yc.< ..".. = 0 U :;...
N --0 ~.. ~E
rr~ 'J_ --U '" -_'_-_=_=____ ---:
~~>r:~"'!~iI~"I~._)~;('f!U ,U,~!1& t J :11'! h, 1!!0I'i¥ii~1I!~1'!!i1¥l!'!~~ 1;1 ,q ), __ ~Il!'£>(~~~~~~IIlI'!~'1;!!!l"f;UlI!"JI~;;:lW'forlifJiili&Ij¢1iWJ'!N)<,4'it, 1M ~~~~·M'I'ijl!!lt,~""'.!~~!'I'\I'i11!l'W~~~jIW~«~ !1\ s;q! \(,I$I)ll!!J!I~~'II',;U;>;::;_ 084 __ Pi$w\W~~W'!\'I~--~-
NAME OF DISTRICT: /.I I-k/k. fire D;sfr,"~ Crd 0/' G
~/wYl
OffiCIAL SEAL
GEORGiA ANN SPRINGER
NOTARY PtlBUC-oREGON
eOi'.,j\. bSION NO. 458914
PRINT NAME
2
3
} ~ / '...
Pr'i~tNam~ ...........-.
.-'
./~. '·"L.-·
Signature '_i.. . '
--~------------------------...."
I ; ,
J ./ '
4
Print Name
,,/
~ ..~ .J
Signature
5 ~19~'/ 36POV
L
,
I \P""'U~
1___ ISign~
DATE
S[GNED
PROPERTY ADDRESS/
RESIDENCE ADDRESS
(If Different)
LI\NDOWNER
fNTHE
PROPOSED
TERRITORY!
REGISTERED
VOTER IN
THE PROPOSED
g!CI uh LlClrd.31ft/pi PROPERTY ADDRESS
Date
Landowner
Yes1
No
ACrel!gc~
Regislered Voter
'~.'~""
Ycs+
No
Pre-
Landown,er
Ycs __'_"'_
No
-'--~""""I l>gOPERTY ADDRESS I\crcagc_L
Regislerc~ V (Iter Date Yes e"
No./ : /.£ .I
,\crenae
. (, / Registered Volcr
/'. ~ ,-,' Yes', ;~S~D~NCE ADDRESS (Ifbi~e~ent) ~~
.0 IJ t~nd(l\Vner ~S '(0 / c:6.a/l;~ H?~~$.2L
PROPERTY ADDRESS Acreage ~
:? ~ 0 ~ I I~CgiSlcrcd VOler
,L1.€JVP> 61\r "l l D l ~~$-.........-
RESIDENCE ADDRESS (If Dlt:~~.e.!:'t) , Pre ==
LlIndowncr
RESIDENCE ADDRESS (If Different) Pre
PROPERTY ADDRESS ,./ .: ,"
Date
, #
?#/l?
Date
.~
-£
;!
~1 ~ ~I g
,., d~l;I'~~~l~~' ~g
r:"l
::; i ~ '" -A: r:"l o;:) i Q,. I
M
:" ~ _ 15
~'o ~
oU) "0;;; ;Z r:"lr3 \ l.g I ~
-4 'I ~ ~ Irl 'ij "0 I ~ o
~ .,; 'H J;
IJ') --:; ..(
~lQ ,.JJ~ CO ~ Ij "~~ :r: ....... 'l4. i J '"
:><:"f..;. a 1<:1 UJ ~'2! ~Il 0'
V'l:.... -,: ~ ~ ~ o,~ I'*i /\fJ I 1,0t I ~ a' »--~i
~ ,_l "'11:§ E.. t~ ¥~~~
<.; u: "':_-=_'_=__--,
I
'1~"'O'f!tI\i~,.,J~.,~tI")I~"JIor.;*,.~,j&iE,ji.<i,Uailt.. "'~IN"~:w!'lllll",~,""'~_I,..1'I~~IG.~;lMJ!~.. n\.i1 •. )!1~.\!i~Il'l!\,~i.1"f~~~~,~.'f<iIii.,~!!!i\~tIIf JI#.,flo,"'K*~~~}!hMA:;HN,A .;F'Mit'+",",z,.,IIfI~~~~~~~""""""""""",,,,,\"'H""~''''~"~,'''P''''---~''''''''''-
OFFICIAL SEAL
w
GEORGIA ANN SPRINGER
NOTA?Y PUBLIC-OREGON
Ci)"J :>SION NO. 458914
NAME OF DlSTRICT: AI+~I~ Fic~ Distra'"" ,S:Oi:.·~:'l'~'_~
PRlNTNAME
2
Print Name
3
Print Name
4
Print Name
5
Print Name
DATE
S[GNED
PROPER
RESIDENCE ADDRESS
(If Different)
2.:>7:Z 3~W :5hrY';iki"l e
l/-2'l>-l). I PROPERTY ADDRESS
Date
PROPERTY ADDRESS
Date
RESIDENCE ADDRESS
PROPERTY ADDRESS
Date
RESIDENCE ADDRESS
PROPERTY ADDRESS
Date
RESIDENCE ADDRESS
PROPERTY ADDRESS
Date
L.N
Cn 6 k e~4f-
TERRITORYI
REG1SrERED
VOTER IN
THE PROPOSED
TERRITORY ~ ~\~
Landowner
Yes
I!)IiH;~' , 1'1No~ .2-\ 'G 1VAcreagc ___
Registered y oler 150 ~IJ . v.'" <>o .. .!::Ycs_~_ ~ I c. ... I '"§U' ';e,-~ ~:~Yes C~ ~ 2No-
'., ~ ~ ,.... -8..AcrC2"C -, '--u'" --',' I .-:::ERegistered Voter N
Yes S 1 ':§ N~ \ ct o::.; I i::' INo
M~o !3Pre ~ g"C ~ oLandowncr NYes__ ~-II ~ 0No ~ .~ \I) ! UJAcreage __ _l ~:g I o
Registered Voter
q ] g 'IYes ~ .;:g ~
-<>"-I ~
<li
~
8,:g." ~~YC5__. f-i fo ~No ~.-I-t:CAcrcagc ___ .E ~ ,~
:; I 5:
X~ :--..::;1 Q.l -"!'(..I~g, I I
Registcrcd Volcr
Yes
No .
I -? ...,
.J)
-= ~ .L, C)\
or.
4
-<:,,. l~.
o1~....:!iJ1 No !u '1;-;;: d~<"i """;.! I r--
Acrcasc --"""0 'j"; ~ ::,& ; Q)
0.0Rc!!:istcrcd Vatu
Yes c-"=-c "QI:§ 1S.:>-..-f..u... (J rf
N(l 8 ~. t~
Pre
___ ___
2
3
NAME OF DISTRICT: fllc.lGc-R're-Disfrif
OFFICIAL SEAL
GEORGIA ANN SPRINGER
NOTARY PUBUC-OREGON
COMW'SSION NO. 458914
DATE PROPERTY ADDRESS!PRINT NAME
SIGNED RESIDENCE ADDRESS
(If Different)
I,
1?be.,.l' "'. ~tIa ~
Print Name
RbeJ-(t(~
Signature
http Ppcluif~ i?J, ~tJR3/1""111 PROPERTY ADDRESS
Date
~11""e
RESIDENCE ADDRESS (If Different)
k in d/.1.. 1... 1(fA.-'fit Yn a.. n I ~JJJ.14ll,} 1f!;J 9IQ Pesch M+e~RDPrint Name
~it.~~
stgnature
8e.D!)c\e, 1\. ~"'--e.\AJ e..' (
Print Name
uU~~ Q -'~_. '-.)
4
I Signature
.Val.u./!,£ I I SheMJe-~,
P']""[,L /J_ t~m ~
SIgnature _ _
5 b;:j ~lY'Iau.-'
Print Nan1~ ~~ ,~.
,L_ ~:~
~
3J!JiJJ Da+
3/lL/I"5
Date
7..//1)3-1 j "'f
Dare
_
.
..5 Jt "., e.,
I RESIDENCE ADDRESS (If Different)
T
I
. ba.b:l£ .:r\4~~eeQ... Rd..-~
PROPERTY ADDRESS .
I ~~1IIt...
RESIDENCE ADDRESS (If Different)..-.-. _ ,(.,lkl-~ ;j Vh,()W pJ. l~"
PROPERTY ADDRESS 0 R.
~
RE DENCE'AriDRESS (If Different)
25U> klw~Lrv !£N;
PROPERTY ADDRESS5Mn.I V
J e! RESIDENCE ADDRESS (If Di.f!~!!E!1t)
LANDOWNER.
lNTHE
PROPOSED
TERRITORYI·REGISTERED
VOTER IN
THE PROPOSED
TERRITORY
I
i
Landowner
Yes~ ,
No 1ACre!lge~
Registered VOlcr I
Ycs~ ,INo lO'jPre
Lando;';er
Yes .........
No-
ACI'C3SCU.
Regis/..ercdj'Oler
Yes V-No --
Pre _1t'L _
Landowner
Yes r-
No__ :.J gi ~
Acreage :::s'
Yes~:21 irI: ~::g
Registered Volcr i e;;;; J
No ~'!i I
.::::: ..s
v
~ ril
.2~,~
~~ V)· 1 iii
z .;;;i 11 .~.8 t:JQ!
o~ ~ ==0
en ,~I)~~
,...,'~blJ &8
~ :::
§ \ ~
Q Co.
gs'o ~
=> ~ '5
C() ." r:~\ I -g ~ Z
Pre ~
Landowner ~~s ~ A"~,,=s
Rcgistcrcdj'o!crYcs_~_
No
.,; ~ ;-I
'" t':;'~i ~ ~o ~:I .... ~ I ~'
. 'I-:: , .
(); ~ ~ J~I -'2: ~ W
~i ,E :li8~1
'B ~ ~I g ~ pJ! I
':::: o~;:;'Q,1"91:;: l:;!v j>. .= a.. >,.0 E, .~:=
u ii'5 __:~__1
N
9
1""1
o
N
IX
Ll.l
~ o
~
~
f--c:cs: ;:<
Ll.l
0
0.()
\j.., o
C>O
E
KATHL£f?1J D -~rM.OlJ
- ( • >.
~/~/~ Are-J)/,frivT-NAME OF DISTRICT:
OFFICIAL SEAL
GEORGIA ANN SPRINGER
NOTARY PUBLIC-OREGON
COM~' SSION NO. 458914
LANDOWNERDATE IPROPERTY ADDRESSIPRINT NAME fNTHESIGNED RESIDENCE ADDRESS PROPOSI~D(If DifTerent) TERRITORYI
REGISTERl'..D ~ "'
THE PROPOSED
VOTER IN
.!2 )
TERRITORY -5
I.andowncr .
c. I' I;~~<!l..:10 ~{WA bAIl ~~s_)l_ \
o "
!
-I' r'f PROPERTY ADDRESS Acreage q •• r n ~::I ~ I RcgisleredVolcr I l Ye$~ __~~______~____~~_____________ No ~~I£i '~\!RESIDENCE ADDRESS (If Different) Pre l~ 1
2 -.-Landowner <II ~ g,.~=.~",-.\ '8'"~/7() :JfN..JI~ M. ~~s~ z'~ ~r 102 -< -.....:: . 1&8w/ll~ PROPERTY ADDRESS Acreage ~ ffi1=1 !.~~~ Registered Vot~rDate ~ I ::;; .Q.. YC$_Y_ ~ :fNo :go ~RESIDENCE ADDRESS (lfDifTerent) Pre J,p :::J ~ '0
I Landowner cn~ -c ;z
J J II ~ I(,ZiJZ.J O~~ ~~s~ 1'-'" ?, 0 ! ...... 1 ~ '" I'Shw/6
:1
1 PROPERTY ADDRESS Acreage ~ ~ 'y~ I
Regislered Voter Date . I ~ i \jYes~ 2:' .:::; 4,~ No .:;; ~ 'tiIRESIDENCE AD!;:>RESS (JfDifferenQ ~ vi ~ ~ ~:;IILandowner4 '" :t' ~ , <!Yl!s~
'I( ;0 aCL.1rPkuJ,.,v-k/!/ No t 'v; I ~./-/J-/.1 PROPERTY ADDRESS ~_'fi ~:;('Date
S'I/Iq£.. ~~)$'-7 ~~ j~
RESIDENCE ADDRESS (If Different <3 ~ ~ I
5 ~ l'\ L'\I\L .. l..-: '<l' "" I1t7.\/~·\d lt9..'t>(; ~s. <-,;j ~'I.·l§l\?jNQ
.'0 J.l J PROPERTY ADDRESS I Acrca~c¥_ 0 (;) I ~ 5 ~ I~
I Date I i RC\ljs~ Vot~r ~ ,_I ~.§ E.I I t~M.J1 : YC5__::: ~. ~!i:'
~f~
iSil!I1litUre
St:rro
I Signature
! I J" , .. , ~ N~ c ~ ,~ *!:
'1\.l\MorvL.or7l./"VIY1 ~~--.-
1 -''':':-'~'l \ ", \/ J I RESlDENCE ADDRESS (If Different) Pre ~ U <1. ....: -= .=.__--'
' , ,--~"-.'-,.L.......___
('oj
('oj o•!'f')
o
('oj
fiJ
~ o
o
~
<:
~
a5s:
~
C1'
V)
4o
C1'
II)
~
A..
__
NAME OF DISTRICT: Al-G li«.-Fi~'Di 'iT-ric t OFFICIAL SEAL
GEORGIA ANN SPRINGER
NOTARYPUBU~EGON
COM"'8SION NO. 458914
PRINT NAME
Al AN Lt:w I ~
Print Name
lfb.nrJ,~
I ""';;'''uu,,,.
4
5
DATE
SIGNED
PROPERTY ADDRESS/
RESIDENCE ADDRESS
(If Different)
'!!II ... 1... 1 ~1Jo LJ JiaAJ. Rd ~/'J.u.l
Date
#J
PROPERTY ADDRESS
.bm&.
RESIDENCE ADDRESS (If Different)
J I \) 1\ .w-t£2:176 /iJvc.'f)J/
PROPERTY ADDRESS
S"i'I'I.L
RESIDENCE ADDRESS (If Different)
3
'211~\ \1.. ~136;;.<zq bacbtJov \~
I RESIDENCE ADDRESS Of Different)'-'-'-r-
No~
Acrcag,c ___
Regislered Voler
Ycs~
No
Pre
No .1"""
Acreage _;::>
Registc~ Voler
Yes
No --
Pre
1_1ndowncr
YC$
N(l~
Aer~___
Rcg;sry;d VOler
Yes
N<,
Pre ..L1L ~
I.ANDOWNER
IN THE
PROPOSED
TERR[TORY/
REGISTERED
VOTER IN I
THE. PROPOSED i .~
TERRITORY £
oLandowner 2Yes V 'l)i
No. <2
Q)Acrcage~ f1.:;:,0Registered Voler 0"'•
i I~~$~ •
Pre "ZI2::.__~ 9'~ I
I Landowner ~-)~~I ~~s~ 3~-~'l~g~ I i'-6J\creage .,,7)" NRegistered Voler ~ f~~ gYes Io I .g~<-. Co.. MNo~ E: ~ i:'Pre ,," <:>
Landowner
-' rc ,5 N\Zl '" 1i -£
Yes
;; !.l I:lJ~ 0.!:: lor. !~ " E2rl o=~ ~ i..sg I'
~'Z f2--"
en ~.~ i
V'I <
fil; ~' ......1(1 fo . I;; e3i'~ i~
.:: ell ,. ,..... ;r. ~
I4
a:tIJll~fi' t£). I "-'! t ! o
<:>.j-,&....I ""::r.; '" v PJl.
g&. ;j
l
0)
'0 .'§ a I
B rs..~ ~
a ~ g ~ -..... .=
2
NAME OF DISTRICT: ~f ~I ~ Fiyf. »"'--.:.i-=-:t>1v....L!.ri.=...::.c,,-j-______.
OFFICIAL SEAl
GEORGIA ANN SPRINGER
NOTARY pUBUC.OREGON
CO~W SSION NO. 458914
3
1
I
I
4
5
PRlNTNAME
';pd e.llickl"
p~~
Signature
t'l~t(bi' N\t¥:-tll\I/\"
Print Name
~---\l~
Si.gnarure
~~~.
Print Name
~bf1*
~1t
-==:...-~~-...;.__,"""~------
DATE IPROPERTY ADDRESS!
SIGNED
RESIDENCE ADDRESS
Different)
i1bJJ6 wrukt>/ pel
PROPERTY ADDRESS
Date
~-Jg..15
. S/J~f2..
RESTDENCE ADDRESS (If Different)
?,~\I()'\j 1.L{~~) £\\'C L~ gu-ljOfl
Date
S'G.."""-.c.
RESIDENCE ADDRESS (If Different)
a~~~3-{f-1.31 PROPERTY ADDRESS
Date
SA"'IN\&
RESIDENCE ADDRESS (If Different)
.~ ;Z~()tiJO Bq~helor t.N Bad ~,~~/3 PROPERTY ADDRESS
_I J<l .xI8 .7
Date
;:>4""«
RESIDENCE ADDRESS (If Differen9:tk'
/?6 /", I I A....d.\
&:[,.(1 ~·u·.......V
f'1ItSii !:R't'¥ ADDRESS" 'Kfl.'jq!,II'Ct..
~ ~ .;>J4?-t'
! RESIDENCE ADDRESS (If D}.fi~.~~nt)
LANDOWNER
[NTHE
PROPOSED
TERRITORYI
REG1STmED
VOTER IN
THe PROPOSED .~
TERR[TORY -5
Gl.andor-ner
Ycs_J(_
No
ACtc.1gC .L.O
i1
..0 g ViRegistered Voter o 2Yes
N0-X_ ~JI #
1Pre o =
Lllndo'J'llc;:-----1
Yes v ! ~~W-::1No---' z ~ 0 = < .. 0o::t:. . .2 ()
Regis~r~ Voter 8 II ~ I~~Acre;;;;c-( I
I Ye~"/ I
No --a &.
~'o ~ Pre .LD ::> ~ "0 Landown~ c/}.., 1] :z.
Yes_c... !.II I .§
No ....,':jj (,0
Acrcage ~ N ~ i
Registered ~cr ., <::
Yes ~ -:.g
--~.=
N0.:::;Ii
Pre vi ~ >;:
~~~d~ ~ i)10 ~;:f;';",<.., .~~l iii ~!'"
rc~ v i "\1 i ~Sl i
No \ -J...~
Pre -··lo-.~ : 6 . , ; ~
L~lIdowncr.~: .(j ~l'l! .... 1
YC$_
No -.JL
Ac:rcag,c ___
~egistcrcd Voter\c.> -L-
NoPre
~. 1.lJ .-1-~ -01• cd I I,. iii ep-\'I
'C ~I-a' g ~r--+
£ '-At :§ ~•
:; ~ -lS. ~
0 '" .:::1 ~ -=U __-:-" .:: ___,
N
M
~ •-o
N
cz:::
W
~ o
~
«(
r-as
i
G3
I
on '"
<..,.. o -
-
1
Cl)
NAME OF DISTRICT: It I f! 1'-F; re-J)i5fr/cj:
OFFICIAL SEAl..
GEORGiA ANN spRINGER
NOTARY PUBLiC-OREGON COM~/ SSION NO. 458914
I.' C'Y'" .......,,, "",'v,," '< I r==
LANDOWNERDATE PROPERTY ADDRESS!PRlNTNAME fNTHESIGNED RESIDENCE ADDRESS PROPOSE.D(If Different) TERRITORY!
REGISTERED
VOTER IN
THE PROPOSED
TERRITORY :§ ~('1
[..and~?r v -
Ycs..6-/(J',TYJ !~/ik£1 No~-------I 02~J"~----:-::--c::L~ .....L'A:/ i~")1 sfPROPERTY A15DRESS Acreage ~ ]0 ~.I;.;RCgl~Votcr ON,. ! ~P'i"7~~ Yes-~~Oy77-?t:r z I .~No
ell; ,L;JI
r!#1iZ PROPERTY ADDRESS • 9:;r::tai
Dat
if r --C me < --1.1>-J$' I ~
I RESIDENCE ADDRESS (If Different)
~~==-:-:-=-::-::=-____-____
PROPERTY ADDRESS
<3-12
'$'~J£
Ip'furt Name
-
\ 't""~ .......,""'..ll~ynl~ fGfIV 0',6.
RESIDENCE ADDRES§ii"'(JfDifferent "i?l '3'J1
RESIDENCE ADDRESS (If Different Pre
9 . 5
::1: : 8';;'2 ~l l g'l1j /!~nU'IJI ---~~'0' ,28~ ~"";";;;....&.;.l N~ ~~Date N- I '.&> o
I5 J: -M
o
(1')'e:
t::::::) 0 t=
:J ~ c
3
Yes
! lj;Z;z.?&l/:!k?'-rL-f>c!&a::/cR j;J..Jt1£J,()1,1 5r ~/f.[(Ic1 No-V~:I L I "
N
z,
Acreagc __
Rcgi$Ccred Voter oYcs~ oNo ~ HJ11
~
-eg, I f-Pre ,0 -<4 L,"~ ~ "!. I. f-Yes Vi),! Is
No ---":; f!' "'::::J I ~ -a:!
,\cre c t 2 ~~. Rtgislcr~cr . '-"l ~~ ~! ~
j;J..JYes '\\..: 0 ~:
0\1. -3 ~i
Vl
I ~~ -.. -: .. ~ on
<....,.5 I ~~~do\\'ncr ~ ,t "~'I ~ ~~l oI No....l-.A ¢J "c? 8 NIi I Acreage _-__ 'c ~ I .j; g ~ iI . ,~ct!is,erCd Voter ~ ._ ~.§ ~Date '""
#1($ I .2L.F-2 W ... !/-• .-.-J. Y"'~ § g e;Z--"....,v:....:....:""~.?-:-:::"...;....-:'-'I(.c..=--"'r_,..:.~~-:-.-._--:--____ 1\1(1 0 .. ._! I ~t2--~L-___lii~ ~ I 1 ;/i.__:-:-, .s ___,~ESIDENCE ADDRESS (If D!,~E.~~l) Pre::r:9: <..: -=
-.-~.--~.--,--"-,.,.-,-.--.--->l,_ ~~~_...... ".~___,..... ". ________~ .'.1H!!'jr~~~___'''t:Iif"
AIttl r(,L Fi re Pi $fr{",tNAME OF DISTRICT:
2
3
4
5
~
DATE IPROPERTY ADDRESS/PRlNTNAME
SIGNED RESIDENCE ADDRESS
(If Different)
fA~'-d'J. 5C.I-//(e I I~'''u~ ,;;..aLTUS J..N. JJ$flJ7
Print Name
~!!bc~~t4<.
Signature t7
:ru...~-h V\ 6v-t"J'. VlPllme ,!
-W:gnature
1JI/;;t>IJI PROPERTY ADDRESS
Date
'$',;(111 e.
RESIDENCE ADDRESS (If Different)
"UI S Cj W;! /llV-J ~J 'JSeklC/, Q I?
3-1~-t3 PROPERTY ADDRESS
Date
S6-.W\.e..
RESIDENCE ADDRESS (If Different)
Date '.t?\ , bI~_ I S~ -_ ------,-! RESJDENCEADDRESS (lfO,ff"",,)
:JQc/c. Sqti1 /J~ I. . . lbb1...t;' flor ~/I nJ. ~GR.
Print Name I 3"19,.-/3. PROPERTY ADDRESS
~~ Oat.
Sqlne
gnanm; RESIDENCE ADDRESS (ff Different) G ~g ..J _ ~ ~('dro~\nvC ,;ot.(Q)Si)fl.£.Jr LV\. ,oR
Date..3;.:
\.f\l....() 5'1/'" NO _ ~ ........ (7'Q'
Si n re... \ ...._._--RESIDENCE ADDRESS (If Different)
I Jo¥ I i\LLilA-5
Print Nae PROPERTY ADDRESSt ~
OFACIALSEAL
GEORGIA ANN SPRINGER
NOTARY PUBLIC-OREGON
COM~' :'$ION NO. 458914
LANDO\VNER
IN THE
PROro~ED
TERRITORYI
REGISTERED
VOTER IN i
HiE PROPOSED i.~ r "1)
TERR[TORY -5 ~
Landowner ~ .-Ycs~ ~. i
No 5~1 ~
Acreage S" ~ 1 ',J
Registered V oler II ..0 :? ,"-..! \:l
Yes .9 'I ~!'a,
No ....I-! ~ I I rti ~r:ndo~:;;? ~-~ j)is·~
Ycs_V _ C (" ; e'"E
No • z, 10 ::--r < 1,,0Acreage __ ("--. l..s ~
NRegistered. Voter ~I .!~ ~ N
Yes V ~ &. o
I .....No --~'-~
~c ~ ~ ~ o ~ '" 0 N
~~~~d?: 6~1 1~ Z PJ
Acreage I ~ r4j ~;g ~ oRo,""" V"" • ; Yes~ ~:~,No ._ <l !Ii ~ Prc '" ~ .~ ! -<
Landowner '" -,: , E~~s~ ~ 1 . l~ as
~Regislered Voler J '"---l-:t. :?; PJ~c~ ~ ~ ~[No ... I
Pre ~ i' t ~! VI '" c..,.. o .....;.J ,{-L ~l? 11.~ ~ M0;, \
l
OJ
f .] ~I·.[~
0 '" ,~-
v ,,~~., ._._-_..._--_._---'
NAME OF DISTRICT: ~/;' Fire-Yi,f.t,."f'-------'~--------.
OFFICIAL SEAL
GEORGIA ANN SPRINGER
NOTARY PUBLIC-OREGON
COM~"SSION NO. 458914
2
3
4
5
PRlNTNAME
-~..l ~~~:>t--.J
DATE
SIGNED
r-;IL.'-t.~ J;Print N'm~ IDate
tJ.,.,)( J I
-I
Print Name ~
~...\&. ;10(g.te5 I~
PROPERTY ADDRESS/
RESIDENCE ADDRESS
(If Different)
(0 t.. '1 20 t?t$:!:I:.VQ:;.:5 I~i?
PROPERTY ADDRESS
~O oC_ 417(:> \
IRESIDENCE ADDRESS (If Different)
(P;) i'SWc,l\u.r V2.A,£.Q~~ I~JOI
J..G:? I $" tAJ dlv€~ 8.:>-A :11:19IPROPERTY ADDRESS i
i "4f~
RESIDENCE ADDRESS (If Different)
_{;Jtfli ~~_~"J R~
PROPERTY ADDRESS
LANDOWNER
fNTHE
PROPOSED
TERRITORYI
REGISTERED
VOTER IN
HIE PROPOSED ,
TERRITORY I
Landowl}cr
Ycs~
No
Acreage '?
Rcgistcr~d Varer
Ycs '~
No-
Pre ~O ~ Land,;?'ncr
Yes·
No
Acreage :g....D
Rcgistert;,d Voter
YC$ VNo --,
Pre
Landowner
Yes
No~
Acrca~c __
Rcgi$lercd Voter
Ycs ,,---
No-
. ---+ ' ""'-"'<V'"''''''"''' ADDRESS (IfD! rent) / Pre .,'
r'7) Landown;:rfA 2}b15 ;;::rZ)~~.l~:U:L£~Q ~ Yc~_V_
PROPERTY ADDR~df\. No . Acreage ....!~L
I
Rc!!ist(r~ Votcr
,-;;;~~~.$~:a:.;!::!l~:::l!!.==-=~--:-::--:--~_______ y(!~_t/_
! RESIDENCE ADDRESS {If Qiffe~ent} ~~ »
lh,I.,
Date
:~
oS
~]1 ,~
~o
No . ~ I '--r en ~ I-~.§(/)-' e:
o I e'§ ~H·-'/l~~;:: () :c >
~ :: ':J i :;>..
lfl'o ~
::> ~ c
en -'" Z,~~I ~ -I
" ,\ I :5 0 ! ~II ,e~ 1 ~ -'5 !
, !:~ JI-2 &. i
• t,) fJ'l I
Vl v·.... I
:n .til": I g Ig
ell 1= ~ "J'~__I.S!'
i\I--l4~ 1(1)
T: : 8""':1 ~ i '? ~ ~i
{~'; ''.oJ I' .\..'1 ~ -.51'
.... el ~, ill 8 ~ C G .]I t ~ .c ,_I I\~:f: ;; ,
§ ~ 1-1"[;
8 ~ ...::§ '" -----'
C'I
C'I o•M-o
N
" UJ
~ o
~
<:
I,......
o:l
!:2
X
IJJ
0
on ...... o
"'f"
<IJ
~
~
NAME OF DISTRICT: AIFaIG-Fire. J);zft-,'c,.r-r
OFFICIAL SEAl
GEORGlA ANN SPRINGER
NOTARY PUBLIC-OREGON
COMiV SSION NO. 458914
2
3
PRlNTNAME
Print Name
D_.:.J /'l'7.~J
~gnarur~ U
J)6UOllo.~ kina.
P'a~k~
Id""~ '~-z;7
DATE 1 PROPERTY ADDRESS!
SIGNED RESIDENCE ADDRESS
(If Different)
~/~.1S3b'/.&~PROPERTY AD~tH
~e
RESIDENCE ADDRESS <If Different)r
.:6/1'1/) l..':t8e.O /)e.e.r L"
Date .5o.M~
RESIDENCE ADDRESS (If Different)
PROPERlY ADDRESS
s~~~ 1~/Ji/1J~ rOate
~~~MItLfA J1H" ;t.O
,~
LANDOVv'NER
fNTHE
PROPOSED
TERRITORYI
REGISTERED
VOTER IN
THE PROPOSED .!:2
TERRITORY -S
Land?,"
Yes __
No Aercagc~
Regislercd,Volcr II
Yes ."
NO==. I
rrclll. '1LlUidowller
Yes ,y"" _
NO--7-
-r! < Acrcage~ :::l
Registered Voter ~
Yes ~
No ~ t:'
Pre 10 S ~ -E
Landhcr (1)"0 -g Z
Yes _ f., I ~
No__ --..Sl ~ g
Acreage ~ _ I '" ::::
RcgistHcd Vottf 1'1 'i ;;
Yes A-.::;.g
No --~'ii
, I ! RESIDENCE ADDRESS (If Different} _ Prc -:J.iL. vi ~,~
I.andowner "'."'"
J/1P-1 '2.fSS :rok...~ e.el " ~~S~_, til -!~
\ Signature I =--
4 ~t'b"" S.&rl./,~
I I I PROPERTY ADDRESS Acrcage~ '1 I,g '~L§!I
ate Rcgisl~d V(ller ..-.. -----'~I ~-< ::: ,'"
, ~""...... r:e$~ ~! ,... ~ ~
N<, -......--r.: ! I <> 1'1 __. RESIDENCE ADDRESS (If Different) Pre .L!L ,,4:"1 -i ~ rrl'
/J Landowner ,":, l -J I -;(: ~ ...d
trQI/LR7 W/lLLAU ~I 6.271.5 :!(h"Pfi fill) ~~~_..L_ <.-1 ~ 'I t!i ~ ~J
73'2J£L
~rlature -r
5
N
N o
I
('fj
o
N
0::
IJJ
~ o
~
<:
I.....
CO .....::::;x:
IJJ
Q'I
V)
t,o .
V)
n nme 3/atLl PROPERTY ADDRESS Acreage 1I~ 0 r-:. -Zi g ~ l~
l
11)
Date ; ~C{!iS~dVO(Cr ?; '-,,<9i:§ a
, '\cs -0 I-¥-I <.> .. ~~M~" . .:J}I£ No' g ~. ,~ f
1____.I Signature ____._'-. ! RESIDENCE ADDRESS (IfDi!I~~.~!lt) PrC ..J.. U:i5 -._=_'_=__--'
--
---
NAME OF DISTRICT: AI~/[a" are J),,>iflc.T
OFFICIAL SEAL
GEORGIA ANN SPRINGER
NOTARY PUBLIC-OREGON
COM~:'SSiON NO. 458914
2015
DATEPRINT NAME SIGNED
I
UJlfUb,.,' 4. ~JAJH.'~
PrfritName ~/11
D.l!e .. c:'.#:..J'I1:"LL 11<IH 1 ... c ;c~LL4<" ,NT' I-
Signature RESIDENCE ADDRESS
2 I
!
1_ •'? J lA ;2 ~t.:i, '?C??"rIO ( L/foJ r5-e h ~ Ibl ~
PROPERTY ADDRESS y~~ Date
I Signature
3
/lrc,A ,,,~ L ,.,. -,co".
Print Name
~Ct~~I ' \Signature
'I ctx-ti"~.1 ff!...J\ .. 1~!"s~V\
Print Name
Signature
~-.
5
.pA\Jl:.t ~. ~tJ~~~
r=v~~~~
l-Signature
Date
,pit,
Date
PROPERTY ADDRESS/
RESIDENCE ADDRESS
(If Different)
1L;2.7C;o ~
PROPERTY ADDRESS-1
/) ~f~
I.ANDOWNER
fNTHE
PROPOSED
TERRiTORYI ·lREGISTERED
VOTER IN
THE PROPOSED
TERRlTORY ~~Il~
Landowner ~"
Ycs~ ~,,;11IU ~~rCllEC£.S ~-1. \\ ~I
Registered Voter ~~" ~ ~
Yes X--I '0.
No ~__. \ I J'i
Pre . ~-:I.f&:.§
Landowner ~~ l ~.~~L--.,j <2 S.
~~~5~D~5~O=-:::-:::-::-=-~~~",fln;.:...L.;:-:....,.!--1--:(./{::;....:.. ,~~s
Acreage -
~ (.) 7r" RCgj~Oler
'1/,.,,{/' I PROPERTY ADDRESS
-::-'/-=-L"...;;..t~ PROPERTY ADDRESS
Date
I I RESIDENCE ADDRESS (If Different) _
"2'../ 11 d,12o (" r;1~ Mz Gf 11CJ (
'
....... 1 RESIDENCE ADDRESS (If Different)
"2 Sf? $", J: I Ie t..". Q'l7"
Pre
Landowner
YesNo --;;r-
Acreage __
Regislered Voter
~~s .r
Landowner Y~5______
No~I\crcn~c -
Registen:d Voler ~es ~
LRESIDENCE ADDRESS (If D.i.f~~e.nt) Pre "JJL.
I
I
No
RESIDENCE ADDRESS (If Different) I Pre --:
).("0 (\ E{Is L<lA'S ~~I I~~:'~vncr
PROPERTY ADDRESS I Acreage _d::.._.
, I nCj,:ist.,rcd Volcr
tAM"' 'I \C5....1.:.-..-!7L..I,P< )II"
8 Ii'-"~ ~ ~
~ :is ~ ~ ,-I ~
~ ~ .e: ~ '" Q'1 -d] ;Z
ul I .g....5l ~ ~
t41 ~:g i
. ~ ~ i I
. il ~'I
~ "'"I ~ I g ~
.~ "",~ ~ ~J ~I
---! ''l :;;
''41 . ~ 1:i
~ -l; J.-!.1 i ~ ~I
'~I~ 1 ; i ~~l ~o N I ~I g ~ I
0 -':::\i:§ ~
§ ~ 1Jl.j~~
0 .. • ._
U;1. ... _...: __..._-'...._=
C"I
C"I
o
I
M
o
C"I
0:::
IJ.l
~ o
~
<
f-
CC;
~
IJ.l
0\
OJ')
4-. o
\0
\lJ
1
NAME OF DISTRICT: A \ -f (It I-G-At-e J); }fri",t OFFICIAL SEAL
GEOR3lA ANN SPRINGER
NOTARY PUBLIC-OREGON
COMIIi ~SION NO. 458914
PRINT NAME
I\{t\
r--f{~k".f~;erlr
I PJw~
I Signature .
4
\ dt:.Anjl)e...He.8L~_y'
! Pri;!1 Name .7
,~~IL4~
! Sfgt1ature~ -'~ u·"CZ
5 KCJ
L-':;'''7/''~ v
DATE I PROPERTY ADDRESSI
SIGNED I RESIDENCE ADDRESS
Different)
RESIDENCE ADDRESS (If Different)
ll,pr-z() ~,.>~{( ~.J.
I.ANDOWNER
fNTHE
PROPOSED
TERRITORYI
REGISTERED
VOT13R1N
THE PROPOSED
TERRITORY
tand5\.r I 2.-Jft
Yes I pt(\J , I
Acreage ,~ I .No :tvh" 5c;;,
Regi~ Voter II ~~. ~ ~
Yes .' ~ I .;::-'-Z -No _ i c::: I 1 ill
Pre: i![ j 9 . :$-Landowner V) _ i
§1~1 <':1'~n
2:::t15", Ih (" 8
",,
RESIDENCE ADDRESS {If Different) ~ ~
V)!; "C
~~ :<. ",(,Iff) If~,.~It !S\ -) I 0
1 '1.6 -/ PROPERTY ADDRESS .~. ~ ~ a~ ~l 'c "::0 'la Ht./L-N ';§o ._ ~
RESIDENCE ADDRESS (If Different) Pre ---rt:> <Ii ~.~
1 Landowner '" 1:;;
~I ,:t It k(f jJ6gscLL fJJ heno, (2Jt. ~~s~ ~ .~o
j . PROPE. TY ;(DDRESS ,'uca!;.:: fZd ! i
at I I~cgistcrcd 'VI,lcr ,...--'"""'l ;:f. ~ SAme. N'iC~~ ~! ~.:
('I -r::! <> I
RESIDENCE ADDRESS (If Different) Pre _~ : 1 ~ iti
L~lIdQwller,.,; ~ ...,; ~ "l"S t ~ .J '\/ "Y'j -<,:u ~I' _ Yes...6.........::u i -.UZO UhI 1f?t?L f?e . No i ~ -{,..i: ~ 8 lJ -2~·1J IPROPERTY ADDRESS ~ AcrC3gc~§" ''0 ~, Ji g ~ 0Ll
Date I R~l):i$lucd \lofer Z:'-"~:§ a'
::5'4A e 1'':5...i1£g ~. g, 2
N<, 0 r: .~ -I RESIDENCE ADDRESS Of Different) Pre U U: ....: '" .:
N
N o•
o-r<"l
N
fJ.l "
~ o
~
<
Eo
=
s::
X
fJ.l
I
0-,
IJ"l
40< o
.......
<I)
Z
NAME OF DISTRICT A{falk 6r-e 1);5"fr_~'C/_t-___
OFFICIAL SEAL
GEORGIA. ANN SPruNGER
NOTARY PUBUC-OREGON
COM" bS!ON NO. 458914
LANDOVv'NERDATE PROPERTY ADDRESSIPRINT NAME IN THESIGNED RESIDENCE ADDRESS PROPOSED(If Different) TERRITORYI
REGISTERED
VOrGRIN ~ THE PROPOSED.!!:! '~ \/]
TERRITORY oS )_ c.. Sti~~ :')scS1 ~\K Lil\le ~c:~r! .~.
3>/I4(J3 PROPERTY ADDRESS ~~rcage S , ~~ ~J);r'~ I
Date S 1\"'6 Registered VOler I ~ "'. ~ ~
,.,."\ Yes I'" I ~';:::
r-,.A-4; RESIDENCE ADDRESS (If Different) ~~ J ~~U·,
Landowner I (I)-I (5:;:02 "=»o.:....:...~~-¥=I~~F--..L.Q-.;~W::U <:Q~~:s.e"~Gt.~~~~ ~~s~ ~-:!, g'~..Jf-o-'~ PROPERTY ADDRESS c.~')o\ Acr~gc~ ~ 'I~ ~
-\ RegIstered Voler ::;:: II --.1-= :;;:
Yes -....l ~ I -g~ U Q.
No GIl '-c:
RESIDENCE ADDRESS (If Different) Pre --g ~ !l
..J " 0 3 . Gt~Z.l n<l.~"L r~ Cllld ~;rr ~I"CIIW;\\'Q,WI. ).\ So\o ') ~V'' ~""'-.:} -1 No / ~ i:! S;
7-
,Print Name ~ PROPERTY ADDRESS Acr~ N. E ~ 1
Date Registered Voler I "';; , ~
........~
~~s~ ~l JRESIDENCE ADDRESS (If Different) Pre . t '" I
4
Signature Land~w~ ~ o,~ f
YcsJ."C_. I '" e~12F9 {fts.R.. J-N ~~:O 6R?p.uJ.... .. S ~~-tLc::.j2. NQ .-.:..-.J..~ ,"';/1 ~Ija"/I.} I PROPERTY ADDRESS Acr~ ~ .,g ~!.§!,
Date ~cgi~V(llcr ____ '""'. ~ """'-I
Ycs_ \"{1i {;~!~a:Q~ No Iii' t: l:: ~.
5 n \ . - . V I Landow.ncr 1 i ,JJ' ~ ~ .. , ~~-,--___\..::.._S_()_V_u_/\A......_ ,,1):"-be 6"11 C"'~ .,.+"\ L,,,,e. ~AJC}( ~~$~ ~ ~,i § ~I'-\:
j PROPERTY ADDRESS ACreage..lL '0 c, i ~l g 5\ (-1-1
Date /' Regislered VOler ?:-'-';:Si:§ ~ .
£.-;7 t2\ v~ ':C s -L § ~ l~ ~ E . .:::..-_ N<, 0 .• ._! RESIDENCE ADDRESS (If Different) Pre () u :r. ~.;:; .::----1---- ---------
N
N o -o
I
M
N
§
[J.J "
o
~
-<
f-
CO-::r:
X
[J.J
0'1 on
4o
QO
(I)
g>
~
,
~~~~IJfl!'!ffi"%":>'453ihJ," !~1(!~" ,~.~~*pr4'?!'_"~~lllfl'!!·\'I"\'~t<;tt':."!I~'''f?llM'!~7~:.f
O~-fICIAL SEAL
GEOfiGiA ANN SPRINGER
NCTAPV PUBLIC-OREGON
COM,; ::,SION NO. 458914
NAME OF DISTRICT: Al [",ItA-F,~ 'DiStCIIIC.t
LANDOWNERDATE IPROPERTY ADDRESS!PRlNTNAME [NTH!:SIGNED RESIDENCE ADDRESS PROP05EO(If Different) TERRITORY/
REG1STl~REl)
VOTER IN
. THE PROPOSED ,~
TERRITORY <Il~/} ~ <,~I
..0 0 1"N '" o . '''''-.S; ~ ~ I ~ 'Co
6
Z I ~
x
~--::,~
Vl",!/l~~a§<' ~ <:l
t"'\ ..,EU
;..c '., _ .~~ C"l
C"l~ I :0 o
I~ I 0: M~'o .§ -o:J '" 0 C"lM""1:> ZLandowntr3 ''''\"1:>, '"
Yes v' ~ I l"!No'--r.u"'f ~ 0 " ""I ~ ~ Acreage ~ rl U :l2 , -"0 ~ I ;;;:::;
':::'0
RegistcrcdJ.' oter oYes_V'_
NQ ~fli
'-' .,RESIDENCE ADDRESS (If Different) Pre <Ii u ';:: «I/)t.andownt'r E-Yes 'V""_, .....~L'l~4 ~~~#Jd~i!J. CONo .'!!'--i/.-m " '"l;I'-rrw f'~ PROPERTY ADORES!' --..--'t\crca~c~1 ! ,g s:: ><Regislcn:d Voeer l'"'"" 'l ~ iii:........-,-'.' r.u
~ YC~..L-.' '~~iNo ___ -;;.! . x 'I
0'1RESIDENCE ADDRESS If Different) I Pre .....I..J;L -=1: <; ~ -4s I Vi
Landowner ~i C\ I -t J! t.., o
0'Y.ps--.L /"1 ;..p I -g (J11 0'1
5
i,lc.r)' 90 /I-LF'~"'Fd-MP-& ~o r-J'. ~ "+-r:; ~
PROPERTY ADDRESS -Acreage 71. 1/::. ''0 ~I 'i,§ g_ \ Q) R(giSCtr~~r I ~ '-;jj';; e.. yc~ v S 0 \~ :s.;;... 1.~ -"::: • V) %S4"'1U~ ~(l ._._ ! 8 J. ~~ ,E! RESIDENCE ADDRESS (If Different)'---___ rc ....1:#-..-; __ " _. _________,
l.-..- '-~'-i-
S)'iiP!..A",i@(\"Wi~"~~Il(;~1 !.l!IllJj)!tI!'II:'01I,lIIJW :::;, Ui'lll~II!II"'IIUIJ'!iH, ,poq"""-.HL .$JilM~.,~~tW81"',$i is,, Htrtl'M*'i:l: k"I!!O'I!~.!O\f'VI4'!Ii&*.",. ,nv !!'_n~~ ,~,~~Mlli!lfqM."U~""I'l)},,:'~·"¥~I'~~t'-'''~~
NAME OF DISTRICT: A-/~I ~ Fa r'1t. D.'~fri c. r ::JFFICIAL SEAl
GECR~;A ANN SPRINGER
NOTA>'<V PUBUC-OREGON
COivh ':iSION NO. 458914
2
PRINT NAME DATE IPROPERTY ADDRESS/
SfONED RESIDENCE ADDRESS
(If Different)
~""Zo tl.dt!J# lA"f-ZD "1.11 PROPERTY ADDRESS
Date
Date
RESIDENCE ADDRESS (If Different)
Yi' """. 16. '-<2 ... Me n '1 ",)!l ~f~'"':t ~ 1 J;..W6 () lJo", xi J ({J . ~.s _h •. -
,t.. 1
'stl Vl-(
D"._
RESIDENCE ADDRESS (If Different)
)!t:8P:-'1 t.. c;,IVRiN9UI,}A11.2('56() /knell £f
Mnt Name, PROPERTY ADDRESS
~J) r.. _A..t'..A.~""'-D~el!J! . o-(..P'fVllNY~~'" ~13 ~
I ~ ---,---,-::-:RE=S:-:::lD:::-EN-:-::-CE=-A-=D-::::-D::-::REC:::-:SS:--(=-=-If=-:Di~fre-ren~t)---
Dil}lYR BR.f)IIS51ffp -I,J.J.-.
,n ~~ 'IJ I(~t') '§P1t'a::s t2(V' [due-H
PROPERTY ADDRESS
LANDOWNER
[NTHE
PROPOS[;D
TERRITORYI
REGISTERED
VOTER IN
THE. PROPOSED
TERRITORY
l,andowner
Yes NO;'
Acrcage 7!lf'
Regis~ed Voler
Yes_I'"'__
No
Pre JC7
Lando'~r
Ycs_'__
No Aer~
Registered Volcr
YcsJ!.
No
Prc--
LandO?"
Yes
No
Acreage 1i12
Registered Voter
Yes /V
No--
Pre
" ~\-E . "I n 1]~1..........~ ....s -~ .~
2-:11
)' 3" ~ ~ < m'§~~.~ d ~.~ z 'f 0 §
<A~~O0"'-1-; ...... '1.2 ':l
~ : -,~ "'" _ I _::2:
~ , "§
:.J I Q.
~~ ~ :::c 0 r::::>;>-,. -' :'e 0 ~\"I' i Z "" !,) 0-..J:.) .... U')
\ 'v "
r" ::is
vi
'"
$ :::
':: .~c':._ 0
~ ~
<> '"
U .. :S Landowp~r
Yes ~ ]____ c
No L .~
t\erc.ncc "-'6 ~ ~ Regjs~cred Voter ~.-. ~ (~
Yes ~ :y'! I is
No ri·:? ~-....::!
Pre :!. i..,) <::.. "I' ~ ~ 'if :J
No _ /?'; ,,11 4-F. "8 ~l
AcrclICc ~ -0 ~ i k =5:,) .... "tf ...... <I)Rcgi.~tercd 'oetr ._ ~.S):~ ~ yc~ lZ ~ . [;
No~ ..5 ~~~V: __ ._
:2-______~~~~~~____.""_._
3
4
5
~ o
I
(""")-
o
C'I
w "
f2 o
o
f
<
f-a:l
s:J
~
Q\
V\
t;..., o
o
C'I
o
gf
~
____".~"'"~jlit'~,..wv:,..,'1"" "';)'!~'-Rtli'.l !1~.I/iOh*", ,Y. 4. $i,_ \M~,.i.,,' if· t '!''IP't'·?'1''''1$'1'1'I~~
NAME OF DISTRICT: fit +l4If~ R~ Di,iria-____
.)F;::ICIAL SEAL
Of.C::-I':lIAANN SPRINGER
NOTARY PUBUC'()REGON
COM" ;,SION NO. 458914
PRlNTNAME
I I &'\ D{kV }cLdlVJL
printa.me ~ It:Ja.d A ~ U.6:t::::!!::2 ~v , -I '"' ~re ~
? ~ ~ . -\SP.R,.&N (. r'\O ~,n~f
I ~ ~
I
, n~ _ ,L Cl,Y'\I\e,.
-~.
Si~nature RESIDENCE ADDRESS (If Different)
3
Lis #4Lir. Cr<uJ(;g.,J
Print Name
4
5
G-oA ,. r Sol),., Sc t!"
:lkWS-~tfl'ol.41 tz7d'" -,..e:. .,) PROPERTY ADDRESS
Yes X-
No
Pre
Landowner
Yes, ~__
No
Acreage :1.!z.
Registered Voler " &...
..0
Print Name
Date
-~~."~T if--~-"'I(:z..oh~ S A-[rz E...
! RESIDENCE ADDRESS (If Dl,ff,?~.e.!:t)
I
DATE I PROPERTY ADDRESS! LANDOWNER
SIGNED t RESIDENCE ADDRESS
(If Different)
!NTHE
PROPOSED
TERR[TORYf
REGISTERED
VOTER IN
I nlE PROPOSED
i£ .I TERR[TORY
~I.andencrhbllr&,lIdJ#'ct ~~$~'120 PROPERTY ADDRESS A""" -~ jd
Date ~~~,~,::?' ~ No ~
RESIDENCE ADDRESS (If Different) Pre 1.f::L -a E;H b Landowner ~i 7S Lv I LJ..AR!J> l::l 9'''0 ,. ~~s~
'-lp.pS PROPERTY ADDRESS A=-s<<i2Date RegIstered Voter 5
\0
.~ ~I\
..c ~:2 i 7J't-~ j~ ~v) ~
g . l3
z I ." ~ I' .'. Jf3;
V')J
C'
z~
< l'-~··
@d:i
~ I:.;
v,;'
::l 0
=>'";qj -5 .,.,
..:; 1
~l
<"'l
<"'l o
I -M
o
<"'l
et.:
W
~ o
~
<:
f--CO
::2
~
I
0'
V) ..... o
<"'l
11)
~
Q..
,,*4 P4A·c"O$""~" ,"'~~~*t!!!Vfj)ll}!i¥J<""'H .. p,IIi:q1~
--
I
I \
I
f
5
i
:I __,__
t II~Dm~ ~ii~=z==.\J___~ESIDENCE ADDRESS (If D!J~r,'?~____
~d.~$"1f> ;:z-;,.....c:/--d<
_--QPROPERTY AD=S
Ea....,£..,.
I RESIDENCE ADDRESS (If Different)
(Q~:S~1C fD ,0(:J::=tr) I
PROPERTY ADDIrESS
~\ r I
Ii I ~/"'-Pi", ])j<jfr;~f OFFICIAL SEAl.NAME OF DISTRICT: -----------------GEORG1A ANN SPRINGER
NOTARY PlIBLIC-OREGON
COMf' :::;SION NO. 458914
PRINT NAME DATE I PROPERTY ADDRESSI
SIGNED RESrDENCE ADDRESS
(If Different)
3-21 1 1 '"1115: [<iw", II)
Date
!..ANDO\VNER
fNTHE
PROPOSED
TERRITORYI
REGISTERED
VOTER IN
nlE PROPOSED
TERRITORY
, Ilindowner I ycs-L
Acrca2C
• -I ler
I',·· :y-y litO!) :T3ehJhI. 111 f) I
! RESIDENCE ADDRESS (If Different)
'NO_/O I
Registered' (I I Y<:s~ !
No I
Pre te:;...-«-------;
Lan_own~r ~
Yes~_
No __ .
2 ~J~,lVO-UW
)jJa/t'1 PROPERTY ADDRESS
Date
Silmature RESIDENCE ADDRESS (If Different) Prc
M ,c,.n..-Ttd"...J t!.. r< <~,..-. 3 Landowner
,:J.S-'Tfd "IF,-11((' Ii!.. Ycs __J/JI/,> I PROPERTY ADDRESS ~~ri'f-_
I -.tel Registered Voter
V """ Ycs....K-
Print Name
~ Date
I NoI SiGnature RESrDENCE ADDRESS <rfDifferent) Pre
La~_4
~~s2S..__
Acrc:I'J,cL-
Registered Voter
NoI
Yes...&...
. Prc , iii.
!..~ndOlVner
Ycs..,.L
NQ ,.-
Acrcagc~
RC!!i.~lercd VOler
Ye~~
No
Pre '"J1L
~~~\~= il'~I '. -'-~ I r\) I ~~. )I'~~ I ~I .~ ~-:1 ~I ~
Pk '" '> '. g'~z i "".~
- . "~§ ~ ! ,-.1\.2 ~ _I i(ru~
ii I :is ::a:.J :;:~!",... c:.. §~ c:
.. A t:: .s.." "" -a 0
j i \ g 7p" i'-Jli ~ 0 ;-1 .~ '" !
'1 ~ 3i: I_ "C I
~,2 1
~.~.I
t:: ......8.; !,-= I
"0 I '" ' c I'"~1) :.'" .....V} ~ (:> , ..:
'" '"
S. ' !:! "'r-!
-=fi . I '.I l:t 'I<~i v 'V ~ -.L.I'-ll I:> I),
1:';>1 ~~ ~' "ciI, '" <io ", I .~ "', ~ f\"j~ I ~r,.. 5 ~f~
''0 ~..)':§ ~< ,
0' u --::>.'"£ ~:§.~
N
N o
I
('t)-
o
N
0::
L1J
~
13
<':
f-<-CO ......:::: ><: w
0
t.r)
t.,... o
N
N
1
~,0 T l I, F,,,, .( ,,,.;;;;q;~,'M'I'~~~~~, '~~'*fR!IJ'l( "~~,ri',~~li!l!f'!,, ~'9iA'~" AltliWn k1:t"'\,AZ'~~~~)!J"f!!:~.~}i,_~~~~q'",,'''ir'~'''''''''0'''''''''l''
OFFICIAL Si:AL
GEORG!A ANN SPRINGERNAME OF DISTRICT: f}I-&. 1'-(ion::... ]:>,':'!;Jtr{<-T NOTAPV PUBUC-oREGON
COM,' )SfON NO. 458914 ~,
\
PRINT NAME
['
12 Chr i >+j!le.-BrQY,>.so.rJ
Print Name ~
r,~.. ___.__,.......
1___-rI_S_I~nature
3
4
DATE
SIGNED
PROPERTY ADDRESSI
RESIDENCE ADDRESS
(If Different)
LANDO\VNER
IN THE
PROPOSED
TERRITORY!
RE:OISTERED
VOTER IN
THE PROPOSED II
TERRITORY
,~-
(1/.111~ (J,1~[/JY( ~1 ~:d~No
0)
~i ;11~-I .) '~
RESIDENCE ADDRESS (!fDifferent)
{g 3:z.ct O 1O\t! ~~R~~&\~,,-J~-ZO-131 PROPERTY ADDRESS (~j 97'2 0 1
Date
RESIDENCE ADDRESS (If Different)
Lllndown.:r
Yes
No~
Acreage ,...
Registered Voter
Yes-====
No
Pre L!_
Landowner
Ycs___
.!;):::l <..~ ;,;
0 .. ~ ~U g
6~-'~ '~
~ ::c
~ I ~o ~
:::J>.. '0 U?~ 1i Z I! %
i :;.s.1 uO I
Acrcagc___ ·N ~ ~ I I R~erCd Voter I ~ g i \
No
Yes ;:,;: );
NQ '5 i i'Pre . t; U\ !! ~ AO'l :~l~ \
t · PROPERTY ADDRESS t\cr.~agc ] ~j,
. ...¥-~:tiz.!~=-____ J :\~ SR<'~ ~~s ~ i-I ~ ~jDate Rcglslcre P'li '"' ,l ~ ,
\
__ \ "lP \.. RESIDENCE ADDRESS (If Different) Pre TC)·~ -e i ~ J-~ ..C I
5 :" \jJ §! ~I
I '<l +~ .~j
I _ c!.1 (. i ~ ~l'j
i Print Name PROPERTY ADDRESS '0 'P ~g ~--r
\
Date Co '_ § ~~
§ ~ ~ ~
t C :;; ~ !:L. RESIDENCE ADDRESS (If D!!!:~~nt) G ::___=-= .S .__
N
N o
I
("1-o
N
cG
!J.l
~ o
~
-<
fcas:
X
U.J
0'1
I£l
~ o
("1
N
(l.)
00
&.
i La ndowner
I Ycs_
I No __! Acrcage __
'\ Registered Votcr 1~1!.1j,__
N("I
Pre =::.
- • 1~.. I.;8-1
f. D,3f-e70}lt10
Date
7/:1.'('11
Date
.(44 etl"'kf PROPERTY ADDRESS
t v.~.......... ~
/ltf71t./;4 p4f 6/'/S"#~rNAME OF DISTRICT:
OFFICIAL SEAL
GEORGiA ANN SPRINGER
NOTARY PUBLIC-OREGON
COMWISSION NO. 458914
LANDOWNERDATE IPROPERTY ADDRESSIPRlNTNAME (NTHESIGNED RESIDENCE ADDRESS PROPOSED(If Different) TERRITORYI
REG1STERED
VOTER IN
THE PROPOSED .~
TERRITORY -E
IULandowner
Yes
No~ ~~I'<.:.-Acrcagc __PROPERTY ADDRESS
Regist:/ Voter 1$ji:l' ~)I ~ o. ""-L. ~ Yes!i2k~ I( j) q ~ck t2J ~117:1 No -.. -.~ i '~gRESIDENCE ADDRESS (If Dltterent) Pre
:$ :: '0;9~ 5LlIndo~2 U'i ~.,!!l
1""'\ "1 (,,);;:Yes 1\0-Z r::: 10 5&,:J-Os-U Dodds Y" q-:no -< _ "( .. 0
ROPERTY ADDRESS ..... !..t'....~OUAcreage -2=.!J ~ ~ ..,:>.
Registered Voter -;~
Yes .-' ~ g;oNo --~o ~RESIDENCE ADDRESS (If Different) :::l '" (5
U'i.{;] z3 .::({1;}-(j:,0 ))()~ d C) ~_
f';'" 0I f,No -_-?") ..51 ~ '" "creage ~ N ~ ]
Registered Vot~r .., ;;
Yes I...----= .g
-->,'No ~;:;
( ',/ .:tJ: RESIDENCE ADDRESS (If Different) Prc vi § ,~
4
'\ L t:;S"> Lt'Ye; Hit y' ~J I ~~~ ~wner lj
Print Name r!PR0eE.IUY AQDRESS J\crct-_ <n ~ 2
-U) 0' ~Date {21.:t6.. 90' 'Vtr.,f/y"....p> ~egi$teredVlllcr '-''-'l'1.0t ~ '~~' ~~ .b fo 2'1~~ ~c~ ~ -;:)I"~ Si~'M . I , No~ ""I ~ ~
i Signature « _______ RESIDENffADRESS (lfDifferenl) Pre _ 1: ~l~I ~ ~.
5 ~ 1 / b~.~ ~ \ I iI... .11\ U-.A L"'''''!''')li <>!;'Qi\ ~ ,I Ult~\~-u\l N ' . (c/:)311 .LQ~N ~1i1f7bl ~~UL ~ ftl "+i '
i Prin.t .r.;; , ~ 'dV-'i PROPERTY ADDRESS Acreage ~ '0 ~I ~g §', I ~r Date ~e(!istcrllCl Vo[CI' ~I:§r'I ~ ~ \c.~ V 0 <) " (J :0.._! N(' "?,; .~ ~ L____ I Signat~~ RESIDENCE ADDRESS (1~~_t2~!) rrc <n, _____-= ,S ___
N
9
f"'l-<:>
N
0::
W
~ o
f2
-<
f--CO ::a
~ w
0'1
VI
c.;... o
~
N
l
II)
,
2
NAME OF DISTRICT: AL-rPrLfA £1 KF 1) {..>-( r<--(C,
OFFICIAL SEAL
GEORGIA ANN SPRINGER
NOTARYPUBUC~REGON
COMW'SSION NO. 458914
Date
RESIDENCE ADDRESS (If Different
uM:.z1 @t W,
RESIDENCE ADDRESS (If Different
"~U""'•.;ion\,.;~ J·"U.J'VJ'w~~ \11 V'U~J""JHJ
DATEPRlNTNAME SIGNED
G ~!""p \~ CL~+\~r-).
Date
_... ~-'~1
Print Name _.-....
c:::::::~.~J
Sie.nature
__~,f~L..Y ~_... Or/ns.r.. _\:;1Print Name 'r b -2-1
LANDOWNER.
[NTHE
PROPERTY ADDRESS/
RESIDENCE ADDRESS PROPOSED(If Different) TERRITORYI
REGISTERr~D
VOTER IN
THJZ PROPOSED
TERRITORY
Landowner
Yes .'l(,
No-3-~_\"3. I p~;e:r.,;" 'J> '" \ \..;J:~'~l>.Y ADDRESS C;}\6 Acreage ~
Registered Votcr
Yes ')(.
No-
Pre'lC
lAndowner
Yes~_No __ciI~11£ t'4rIuI& ~ ""I PROPERTY ADDRESS Acrcage ....2-
Registered Vot~r
Yc':>L-No __
Pre
Landowner3 YC$+
No ___ /"""
Acrclllc -!:2....
Regi5~l!d Voler
Yes
No
Prc
4
IAnd~er
Yes
No __
Acreagc Y" f,;
RClllstcrCcf'Voicr YCJ~
No
Pre -II~J~
PROPERTY ADDRESS
Date
RESIDENCE ADDRESS (If Different)
~ 'rlJ& 21[()/ ~~~V
Acreage:;tO Rc~i&lcred VOler
Ycs~
No
PfC~
.!:2
-:8
Q)
E ~'
Q)r-Il
tE_
QJ.o:::l ..
!:!2 'c,.
~~
~
V)
't g'llrn'~~.: OQ '09-~~
o ~ ~
gs'O
;:,:.i
V).s ...,
rJ I I ~ ~
;t \10
.: u.
. U'C-'6i c ;:~
~
'1
'(}\I
~ t ~l ~ jl~
'Q ~
....
!S:!ii III....-~'Ijo
.... .,
~
N
~
I
M ,....
o
N
UJ
"
~ o
~
<:
E-< as
:E
~
UJ
0\
I£) ...... o
I£)
N
(!)
CD
I:U
Q...
NAME OF DISTRICT: ACFkL.FA-~(~-j)(Jn~\C-L
OFFICIAL SEAL
GEORGIA ANN SPRINGER
NOTARY PUBLlC-OREGON
COMrlSSION NO. 458914
DATE IPROPERTY ADDRESS/
SIGNED RESIDENCE ADDRESS
(If Different)
~)-G C/ <;!'uodl>1(d . .. __~
PROPERTY ADDRES&-~.{;14~7tJ 7
\'1-'7-13
Date
RESIDENCE ADDRESS (If Different
. "II bt't '-/J '-vA Ilr II'/' r cI ~t 7-/JI PROPERTY ADDRESS
Date
1<./ _ ,,_ 111 %i!4:j \1) AI bEa [0. Dmd ,9770 I
Date
1,f_1-'J\~§1~. U:.2<Mk...~c Rei·1
Date
RESIDENCE ADDRESS (If Different)
-7-/i 'r:>.IJi..f-': IttJ ~I}~, ')Q\ OW' !
-"t:'''<l''''''''''&...........
2
3
4
5
PRlNTNAME
Paul i Y'-€. 6 '«6 r\e (P~ame 11
y ~i--~I~&.e (
Sismature
,11m W/J/!AC e-
Priih Name
-: 11'1"1' \OJ I" " I Y
p,~r<1 Ak\'1 ~9,rmt ame
D~C --;:;::RESIDENCE ADDRESS (If Di!fere:;,":.:;t)____-L1 .~4I.L""H'!.--_-L_________I
I..A.NDO\lt'Nl~R
£NTHE
PROPOS&>
TERRI'l'ORYI
REOlS1'ERED
VOTER IN
THE PROllOSED .!:'l ViTERRITORY -S J
lULandowner
YCSif S I 'b I~ r-No ~1 ~ Acrea~-o
.0 ~ ) ..Reglstc: Voter o . i!Yes __
No ~ I ~ ]
!'re :lo~ ... - ,§Landowner U? 'i,~
""'-1 0""Yes %~ 1\ O§No~ <'> ., '"8Acr~ No ~.s NRegistered Votrr aktl_ - .~~J:> 0
IYcs~ o l. MNo ~'o ~ 0Pre ;:)~ 'S N Vl -6"3 :zLandowner ~li!Yc:s W'3No~ .g ..0 0u-.:rAcrc:aSC ilC . ~-'6Registen:d VO(cr 05 e:•.jYc:s~ 0~'=No r'E !l..Pre ...;..., !Hl -<'0:l.and~ r-Yes_ -CONo
Acrctlit o..() -::r::
~Rc:gistc~lcrYC$ __ W~~
N(1 -+:r <;;1\Pre 11"\~I~
L:ll1d~
"'I 0--11 ;;,
.L "'"' Yes__
1.0'·WpiNo N ...... t::J. G)Acrcagc __ 0 0
&:
00Re"i$lcrcd VOI~r ?:
Yes ...........
::
i5No U
----___________"',"ffi\"',"''".I1'''•.,r.,.,;;'''~''' . i\i"',_.~.~'*"' 1I!'l'I'''''WI'''1 ,4 jh,(ii1l1SD(' $.f\imf"'l'~.•_?,I,~!, W;:.$QIl:,NJAPt ~MI'~%""#"ii1(t,IIti:;!JIliAA:i'},iIf"',4'~l;·.,iI!I~!l'!Ik;P¥ lilt" ,00000~\9"""" liiiNI+)P.1A) riIM,!/ 'Ii_(!oiA, ~"\IlII~f3,~'h_~1 ~'"'It_",,,,,.~·~""~..''''~.",_",;;"".,f}.. ...,,.,""" ... , b
---
NAME OF DISTRICT: .frk£tft.fA= 6~Jb~\c:J or';:!CIAL SEAl..
GECRGll!.. A:'IlN SPRINGER
t-.iOTAFIV PUBLIC-OREGON
COi\l:\",SION NO. 458914
DATEPRlNTNAME SIGNED
-""'v"' DV"V"n V "
~
L({.J J~ r
Print Name
Date
:5
Pdnt No"" j0",
L__ 1 Signature
PROPERTY ADDRESSI
RESIDENCE ADDRESS
(lfDifferent)
Iq1111~ I ::l5(,0'3 vJ",\~C \l1
RESlDENCE ADDRESS (If Different)
.;}PlcC:A L0bJ.\c:f£ (LS; i e>e.ccl.
PROPERTY ADDRESS
IR .... '-'7Jf./ VI.M.J'V../ ,.~ !)!7l'::"1-' \.:r=
RESIDENCE ADl?RESS (If Different)
PROPERTY ADDRESS
I RESIDENCE ADDRESS (If Different)
. PROPERTY ADDRESS
I
Ii RESIDENCE ADDRESS (lfD!.f~~·.~!)
LANDOWNER
IN THE
PROPOSED
TERRITORYI
REGISTERED
VOTER IN
THE PROPOSED ,!C!
TERRITORY -5
<l)LandV:;::
Yes eN)No ~-I J I ...s:;, 00": ~.J ~
No - I ~ 'a ~ I ! J:iIPre: L~__-__. o -<L.=
Landowner
Yes~
No __V_
Acrca."c""--RcgiSiL Vol~r
Yes
No
Pre
Lan~J\cr
Ycs~
r 1,.,.?No ___
Acreage 2.!:>_
Regis(crc~r
Ycs~
No
Pre
Landowner
Yes
No
t\crC3!l.C
Registercd V Olcr
Yes
, ~; .
landownerYes N-A~reagc___
~J Jt~:~
z~-'IO~~ <>-< . ~I~ l~~!:E ~ e ~
~'o ~
=>$"C ~ ~II ~ I
...£j ~ 0 i-II ~." Il--.U 2 I
]8 I
~,:.§ I' ~ ?i • 8.~ I'" V) • -S II", ,QIg ~I ~.!!!' Itt.I tr. :: ~-S? '".!:!'
IF\' '"""' 'l ~ .... I ~': ~ g !~; 'Z I ~~ ~,~...! l!f-~
\i; .:" J . .=0; i.;.) ;::<.i .~. ~I~~-~ I Rc\!i~lucd Voter .-':§ ~
. 0 'u ,~ U &
N0:§ .= _'
Pre ;.;; __=~~__;
N
8l
I
M-o
N
~
UJ
~ o
~
-<
t
iil
s:: ><UJ
I
0'1
\,()
4-< o
r-
N
~
~
Q.. I
NAME OF DISTRICT: fJ I {tAl ~F; ve J)t>f,,-td
OFFICIAL SEAL
flECflfllA A!\IN SPRINGER
NOTARY PUBLlC-OREGON
COMiv :;SION NO. 458914
DATE I PROPERTY ADDRESS/PRlNTNAJ.& SIGNED I RESIDENCE ADDRESS
(If Different)
I I '.'
PLk\('\c\tA-.Deli€nCeVl2--l . wQ7~5 :::Tun/Ff Rd.
Print Name 0-110-13 PROPERTY ADDRES
~ Date ~:3atv. u& -i;VlL~ 6artLa
Signature RESIDENCE ADDRESS (If Different)
2 I \ \ h' _.
~a\\l\ \kVQA\\,P,(\2 \ b',J~? Jllol ~ Rl)
print~amr.h, .r 2-lk 13 PROPERTY ADDRES
/~bL ,Date
• T\'ffI~ J ,(\ l\l\f);Yr .mAlL :2 '1 me..-
I iSiID!ature -...... •/./ RESIDENCE ADDRESS OfDifferent)
3 : /-'-' I .1). ~ r-' ; I.. ..' .(../ 6 ~h, ell>' (' ;}rfrY J)ti #Gr
Print Name --It-,U, PROPERTY ADDRESS
~ Date C-~
,~c2 /'
SiA.nature RESIDENCE ADDRESS (If DifferentL
4
?a/jiLl ~OX 4;J.(f955 bectfi::--t&fL LH
Print'Name~ J/II:,/13\ PROPERTY ADDRESS
Date / p~J~.nv
Signature . ..~~--. -.,..~-RESIDENCE ADDRESS (IfDjffer~nt)
5 ~e1~CGd PUl" S Q l). S l ) :e La n c..
P.:]~:Lv~GJ~~
Signature L I RESIDENCE ADDRESS(lfDifferent)
LANDOWNER
rNTHE
PROPOS[~D
TERRITORYI
REGISTER.ED
VOTER IN
nm PROPOSED .l!! )
TERRITORY -:S 'Y')
tand7cr e ~ -~:s_ e~1 ?-\ Ae~ ~ t..l
Registered Voter 0 ~ ~ ~~~ i . ]
Pre L.IL ~ _ .~ Land~ tI)'", ~ ~.=: ~:-c5 i
AcreagcIl;J!i. p ~~ RegiJkrc~ Voter e :§::E ~:$~ ~.... IS:
Pre ~ § :;. i
Land~ntr ~ -6 1! %Yes 'j..!!NO~.J § 0
Aen:. z/, 1(. c-l! ~
Registered Voter ., :: ~!sL-~;~ ~
Pre ,LD iii B.~
I..andown(!'r ....-s . ~:-2L-\1 ~j ~
AcrCl1gc.::L!1 ~ i ~,~I
Registered Voter ~,... ~ ~'"
Yes...x-. '\> '\' :5 . ~ 1:!No __ <; g,
Pre --0...::: i!:'
Landowner ,:;; . 1;!
Yes . \J .. ~
No~ ~ .,~
Acreage ~ '0 g 5 ~
Relli'I<!~<!d \'Olef 2;-:§ i
Yes~ § &.~
No __ ._=0
Pre 1'& U -'::.:
N
N o -o
I
("!")
N
o:!
W
~ o
f3
<:
E
Q3
:E ;:.<: w
0-.
I.Ii
.......
o
0-.
N
(I.)
Z
__
2
,
, I
t
NAME OF DISTRICT: 4/ta../f...':':re l>"'stn"d-
OFFICIAL SEAL
GEORGIA ANN SPRINGER
NOTARY ?IJBUC-oREGON
COiIll' ;,SION NO. 458914
IJANDO\VNERDATE IPROPERTY ADDRESSiPRINT NAME rNTHESIGNED RESIDENCE ADDRESS PROPOSED(If Different) TERRITORY/
REGISTERED '>0VOTER IN
THE PROPOSED
TERRITORY <1)1
3 110 I ;}.'1q'S(" lXAc1elov \c;J.. L"'..... ~ . ~ .GJlfti-J 1 \ CA ctt~...~(j \ I. D PROPERTY ADDRESS (\.Q... Yes-K-e v:::rPrint.Name ._ ate Po n..... No -!"" .U
SlgnatUFe __ _. _ I 13erd oR. ql)l)fI ~::,,,.... ,. .l! J ~ (,1l~• VV '/ Ic\ I " A"'... ...s...e~·· ~
ADDRESS (If Different) NoPre 775-L
K,(.iL" C... (1.(1.., L "'.)' .r~ ~L\qslo 6ocbeloy leu'lL t;:'x" ~~~~:I
Print Name ~ (, 1,.1 PROPERTY ADDRESS . Acroagc:::5..-~ ~ ~2:2.:i------~ d . .. IOf~ ~ I-Date yO n~y ,q I \i?)e1j-v-J RegisttrtdVllfer ~i ~. ~ ~LVYi OJ .I I V~1)N"I Ycs-2L ~ ; llV"J Nil ~ '-i:'
!S!lsture. R: rm:. ADDRESS (If Different) A. ~/ r Pre Lli " g ~ ~
3 / . Y,<""'1J1'77'2. ,I /' r. ! [r~t7i.." {Land~ CI).g"8 z 1a(L<::'!'~ J/I./lt?S ""IlL) '> "/fi1!¥I'l /7i7ij.;{fL Ah 'B¥jj~,~~$ -~~ ]gPrlnt.N~ /"l ,), ! \ 7 PROPERTY ADDRESS ~Acrea~--c4 ~ ;S
/ • ,'1 . / Date .. '1., i!• . , 11 I i! /'? RcgisleredVo!cr
G-f~ ;: _ ~. r D /y,," !6t/J /J~1";t'/ iJl-f/Jll?~ Yes \., ~:~,,,,-V~ I 11 No..,-.r-~-~
SignatUre' RESIDENCE ADDRESS CTfDifferent) Pre L.Ll .,; '9.~
4
('..(' " . lAndowner <I)~.oS , \{\ONC\~ ('(\ I \ \Q \: Q YJ'I" fuc1e 10 r LJ ~~-'\-'1 10 ~~
Print Name :~ . I~.. r PROPERTY ADDRESS Acreoa.c..5......-\! ~ t\~ .§lI ~ ~ " i'\ \\ Date . <111o~ Registered VOler -i'II""" .. ~ \'$f"l
'CJ ~ ~~\)~ 'y\_A 2.0, Bol (;'l¥:g l$eN:l , otf ~~$~ -i;! !!ISignature' RESIDENCE ADDRESSdfDifferent) Pre i2i. V!'"3 ~
5 Landowner ~1 ~ 11f\1 Ml ..' I Ycs-L AI .Mt-'1dlt' Z Y'Ail; ft,r bdo..-,C... (\(,( No i ;j
Print Name E-I k 13 PROPERTY ADDRESS ACreage ~ '0 ~
1 '-n .. f: A ate Rcgislcrc:d Voler ~I l/tikl~ I ~ To i)Q~ lvT['j 12r..od I DR 51Jcr6 ~~~....L ~ ,_
l--.-. SignalJe < RESlDENCE ADDRESS {If Different) Prc ~ U ,_-:._-= .S
N
N
o
I
M-
o
N
"
~
o
~
-<
f-
CC
:E ;;<
p.J
~ '0
~
Q)
~ ~
___
NAME OF DISTRICT: /-} I fa/.pl...-hart..--:v t str/J',)FFiCiAL SEAL
'3:i:O~::jGI!" ANN SPRINGER
NC)':'4.RY PUBUC-oREGON
COMi',SION NO. 458914
PRlNTNAME
,#4~/1J 1. £J.AtL
'. ~~e~d
'~nature
2 [:=~~-0~"> C ~IA'-'
Print Name
(---1~~""rSig~ture
3 -.""-..:::.' , I -??~df~.u),., /7 {)
rt //.~? ..... ~
,--
b!:----x......'/" / <7,I..... -/.:' '<'/?:( ;/
<:,/ " , .
• Signature
,
4
DATE IPROPERTY ADDRESSI
SIGNED RESrDENCE ADDRESS
(If Different)
• 2.t/-96B &uI~ LN .8LJv{) 977lJJ~I PROPERTY ADDRESS
ate RESIDENCE ADDRESS (If Dlff=nt)
I..ANDOWNER
[NTHE
PROPOSED
TERRITORYI \. REGISTER[~D
VOTER IN
THE PROPOSED <I) :.sTERRITORY
I.andowner ~
~~~ ~~I ~lv'
Acreage '¥-;'Jr ~ 0 ~ .~
rc_,v...,~'_:;~_, t~l": .\. J
-a.V9~~ ~1a."lpr if beL 90~:s ---~'~., 1 6~
, PROPERTY ADDRESS Acrcage"'7£25 ~I'-.JJ ~ ~~ Registercd Votu 15 () ~ ~Oat "
Yes ~. ~ ~ ----~No ___ ~.... ~
RESIDENCE ADDRESS (If Different) Pre L...lL Cl (> ~ ~ ~ '6 Landx~r C/l ~ "8 Z
Yes ~ I. ..I J I 2.tff5! ~~~bki" i;N No~' .~ ~~ 2, J7 t3.I Acreage =s:... ,~~;S
Re&lstcrcd VOler i e
Yes ~ g D'ate I
No:X= ~lRESIDENCE ADDRESS (If Different) Pre.1..LJ.. vi tl·~ ~\
l..lIndowncr y -=II')
Landowner .' C/l \ ~.!!
C'l
C'l
o
I
M-
o
C'l
0:::
W
~ o
~
< r-~) Yes~ ~'g ,I~ -CQNo .!1JI ~i;! ..... ~ ~ lCeL~Z5'f) ~.,,,J
:J::pr~me • -2~~{:;/" PROPERTY ADDRESS "cr~ .2 t'~1RCDistcrcd Vuter ~,..... ':\ ;: CI) ~ wYe;4-'\ I ~
No 1j I --:2 ~ 0'
onSignature RESrDENCE ADDRESS (If Different) ('re d --'5 i ':' ~ ~ f-. 4-< o. I 1 ! . Luujowncr·.f') 1..!J ,. ~ {~i I .'/0 M L ?t t. ff( f(J1\) ~.,118 to &'v' he .fl,' LI~ . ~~s K . ~ ~ ; ~ ~I M
(!)
QJ} Print Name PROPERTY ADDRESS Acreage ----2-. '0 <:> g ~ \'
~
~ . tJ I ';/ AJ 1__. ate Re{!i~lercd "oler .:::-. :!1 ~ ·~VAX.~ f 1'{~ Ycs...2S-§ K.~ .. ~ No 0 .!a '"
I Signature RESIDENCE ADDRESS (If Different) Pre ~ U ~ -= .: ---.J
5
NAME OF DISTRICT: f} I £a, I ~ Rre :D .. ~t'l"l d-
OFACIAL SEAL
GEOf;-GiA ANN SPRINGER
NOTfl,RY PUBLIC-OREGON
COi\"i'~ SSION NO. 458914
I[--I-
I
!
2
3
4
5
PRlNTNAME
r?.h<:.. J\ c\6.."J1u rSe.-:. 4
Name
'J\.. -, A-~,\L'('~t ~ L"'.c~';:-'-1
SignatUre
cbs 12<2I?SMf
Print Name
~~ ~
Signature
• '/t)' ,/
DATE
SIGNED
3/17/13
Date
PROPERTY ADDRESSI
RESIDENCE ADDRESS
(If Different)
J.s].)<;t<1_ ,-~cC (0 r L;~\
PROPERTY ADDRESS
7~,jCL (Dre. 9' [t Cf
RESfDENCE ADDRESS (If Different)
...I,~/-. ~5,,¥o :Faclrek-4.;,
~PROPERTY ADDRESS
Date Ced &".(('1 9720/
RESIDENCE ADDRESS (IfDliferent)
• h1-c<A~ tJ ~r-)yL I ~5 6 Z '7 ~7 L;v'
PrmtName >"1 It, PROPERTY ADDRESS
Date
~ tJl$... 97761)
Signature I RESIDENCE ADDRESS (If Different}
I ('I. , I ---:i2""" .. A ...--....V!onl\ie.?~IIk0er ZYX?9 ~t./
PrInt Name =:J PROPERTY ADDRESS~
I . ~i/. Date -;;&, d' ~ , /, 'C (
~
, IA¢\ / hf~J1'n L '~,;z.dO
I CJ ~
I' \ • I l
I H ~n ~ \ tJ 1/' " 1~
Prmt Name
L";,
LANDOWNER
INTI-lE
PROPOSED
TERR[TORY!
REGISTERED
VOTER IN
HIE PROPOSED
TERRITORY
Landowner
Yes -
No ~
Acreage 1(.1::>
Registered V Qrer
Yc~
No --;:;;;r
Pre~
[.,l\ndowner
Yes ...........
No
Acre3gc~
Registered Voter
Ye5 ___
No~I PI'''' j7)"
Landowner ~~s 'x
c~
';:: ..,
t ~."-
(l) ~l'f\1 ""'i
~~ ~<j~
~o I ,. .B-",. ,S!"'-I 0::1 ~~. e'::;§z', 0
~ ~. .B 8 ~ t-l~~
-.toa Cf
~~ ~
:J ~ '0
1 V)",,] 4 A~ 1 ~ ~
/\crcagc__,' c-J) ~ ~
Register<:d Voler Iii:::
~~s~ I ~:~ \i
Pre t' th ~ ,~ ::il
l..:mdowner If> \ r= ~ ~~s V ~11D ~i
Acrcagc__ ~I~ ~\\l~
Registered Votcr .--. ""' ~ ...,' :i: ~ y ~ , ,"1-' N~S=-~ : ,I ~ I
~~~~--4-~1---~~~--~-----No____ q 5 ~ ,~~I Pre w-U:.r. ._:'..~__!
Landowpy-' IJ. <.... • g I ......
Yes V I ~ I '"
N.A --I~ <> N ~ _J" U\ll M Acrca~.c --_ '0 't;;! g ~. I' (I,)
RC{!lstcrc.d Voter 1':::-__ '~.,§ ~ eoy ~-_ 0 ~ u -t'1S
<!s_ :;" ~\' Q.;::-~
N
N o,
M-o
N
~
~
o
~
<:
[
~ :a
:x! r.u
I
0
---
--
NAME OF DISTRICT: A I £a/~ Efre--D.sfrivr
Of-F!C1AL SEAL
«ECtl:i:iF-. ANN SPRINGER
NOTAPY?U6L1C-OREGON
emil.· 5SION NO. 458914
LANDOWNERDATE \ PROPERTY ADDRESSIPRINT NAME
!NTHESIGNED RESrDENCE ADDRESS PROPOSED(If Different) TERRITOR.YI
REG1S'·F.R[~D
VOTER IN
nIt PROI'OSED
TERRITORV
Landowner
'I /-/.t /_. 7 '. I A •/..k d //t,1.cq k) 1/ t.~-L', :c.7~,d/ ~7 ~7 /'~Ak'#,6"'"""411 ,6/< ~~S.:4-.
Acreage.., i{.Print Name Z/Z-I; I PROPERTY ADDRESS .
Registered Vlller/., / Date
<....;c/ ~ " /7( p "'/./-:/?I ~;..~"-" / l';' ~-1':h. ~~1-Signature '" RESIDENCE ADDRESS (If Different) ~~
Landowner2
Ves____\\..)L'. L. f,rowh ~~J~\4~~::f2;<-bk2V: \ V\"3 n I ])RoPERTY ADDRESS Acreage _?pifi\Name J ~Re"iSC(Cd VotuDae
Yes\.A. L' .L:~k'C '\.),[ No __S.mnahire .~ RESIDENCE ADDRESS {If Different) ~..LiL
Landowner3
Yes.2!'.:J. S-\ () 0 A-\f~ \{ \1 }-... (:..e t () Nov ~·:<cb." c:__ L ~\~ u.> I') "
Print Name' .::>'-Y PROPERTY ADDRESS Acreage -
lJete Registered Wter(~ . -I ( Ves~.. ~/J-,}-I c//".> . N0__.;...7 RESlDENCE ADDRESS (IfDifferen!)Signature Pre .lP
l.andowtlcr4
LtiR.tZ'/ C. \.1.J~\t-r;::. ~ '1~,;j L i7.llJD Alf,(,LF=A. i1..\~. 1('1· ~~~..x..-.
\'i 't Name 'PROPERTY ADDRESS AC~'4k'.' . -~ "C~· L Date Regi5t,ered'Voter.:\ .~. . .' vc:s-A.
. I~ ~
f-Sil1atur RESIDENCE ADDRESS (If Different) Pre LT
5 .. ' LnnllownerI ~
>;L'Usa",G". m\eD 1,.1I.~ ~'1rJ?'S~La.w.. ~~$ 'j.-1 .
PrultName ~PROPERTY ADDRESS.. ACrealJ.e~_ ' ' Date Rt~istttcd VOler
\'cs~~A~ .., ~ 1~ l' No
L.IS~ RESlDENCE ADDRESS (If Different) Pre -z;r
~
f
•
~ .!!2"~
-:SOJ _
s:: ' , .
e':::l ~v ~Ii3
.s:J ~ ~ o . ~il
Cl
$
0 ~ ~-:i J ~:!!i
0z H"II t. 0I !:! i
< -~ fi1;:( . oS ~ N ~ '. ~:I 8
'" I Z -o
•('"f')~ 'i i!'
§~ a N ~ "0 -g ::t 0::"I it
(J>" Ql
~ ,-rl. ~ ;S1 g ~
-'!> ~.:: ~'E aui::,~ <:
",.-= ~: !
Q5)ij ::''':'I ~ ~-¥I""" ,Q.l
j ~I I~, I a
lii.>511 ~ ~~ e;...~ J ~ ~ ~o
('"f')
('"f')
l
II)
ql ~ : <> ~I
'0.<:, ~g l !\~I ~ '-• :§ ~ W.
E e K.~
- -eu~ ;:: ':;::
V) ..: -=,_'_=__-,
')fFICIAL SEAL
G'EOr.{:;.ii1. ANN SPRINGER
NOTAPYPUBUC-OREGON
C01\~:--,SiON NO. 458914NAME OF DISTRICT: A/G.1/~rrt-DistneJ-
LANDOWNERDATE IPROPERTY ADDRE~IPRINT NAlvrE fNTHESIGNED RESIDENCE ADDRESS PROPOStID(If Different) TERRl'roRYI
REGISTERED
VOTERlN
nul. PROPOSED
TERRITORY
.~
i
'8 51 ~!;;r i ~~
•
"'1'g III ~ i
ru""" \
I.;
.,j ~
'::7 iJ
II ~
'is <J
C
§
0
U
2
:3
4
s
1-
\''\~\~\d'> ,. _ ~ ~ ~~>'~,*,
Print Name ':;> '5\. ~ PROPERTY ADDRESS
\ _~ ~ Date ,~~~\~~ "
Slanj$lre ~ESIDENCE ADDRESS
(/-11' I f' a Ie 3'5'/[; ~h"4Y..fo"~#~d;tV ,Ko
- , ... )'-I I" -/ PROPERTY ADDRESS
Date i?N'.£IP ?'Ie 777cJ1
RESIDENCE ADDRESS [fDifferentJ. ~ . /~~e Ce./l r- :2.7':5'8 't i};f c/?e Iq2 t."J ~~6f-J PROPERTY AD.DRESS . .'. - ? .; cJR V~ ~
J nature R.ESIDENCE ADDR.ESS
I, cJ,l . .' J
I p;nn£ ·:j?,.eJ"9 r I 2..':/91$ tr{pme La. 6LciL 9114
Print Name ~PROPERTY AD RESS
Date
Si nature RESIDENCE ADDRESS '(Different)tit/, . I
l)'EJ L gt: J~ ~.t>tir 15 4l~1 nf La bRro, cP-cmd
Print Name . PR PERTY A RESS
"., ~ ate
~ ~
Signature ~ RESlDENCEADDRESS If Different)
Landowner ~~..L Ae~
~cgllltcrcd Voter
N:-;;-
Pte
Lllndowacr
~:~
--;-S
=rCiiVoicr
Yes ..i::::::
No
Pre ---;;
Landowner~~X-
AcreaaCoyo"Registered Valtr ~
No X
Pre I 0
Landowner ~~ v-'
Acreage:5-.
I\cglstered VoterYes
No -;:::::
Pre -0
Landowner ~~~
Acreage 'S""
_,od v... ~ N()~
Pre -,,
C"l
C"l o
I
M
0
C"l
0:: ~
00
E~
t: ~
;:<
WJ
I
0~
0
;; ~
..
tNt "u66j:K,'ik S $ ok 11"~_ililii';:qJ"">JW"?l 1'1', ¥ i ) H~~'f>th 1: "s's'ooiil ol!'l~_i .. IilIliillILj/b ~ t: lI,*"ruo.%r~'oi>""~f' 'b
NAME OF DISTRICT: A I-£~ I {'l 8 re.. ])i~f-rtvt
)f-FiCi!!\~ 3CAL
G;;;C;3U:. A:'-li\! S?Rlr,OEFh
NO"'M:tv "'U8UC-QREOON
COtv;.. ::oStON NO. 458914
lANDOWNERDATE IPROPERTY ADDRESSIPRlNTNAME IN THESIGNED RESlDENCE ADDRESS PROPOSl~O(If Different) TERRrrorm
REGISTERED
VOTER IN
THE PROPOSED ,~
TERRITORY oS
Lando~~er ~
Yes__ ~l---ub.-'\ W\_~)IU G_lg~__ D.e.,.)~bv \c. S No-¥--"
Print Name J-2.2 -\JI PROPERTY ADDRESS y"<.", A 0 It "'1-17;) \ AcreaF_ .g
RcglMcr~r ~ ~Date
Yes ...)~ vd-.. No .-i!:...... ~_ S~ture RESIDENCE ADDRESS (If Different) Po:: 0 Landow~r ~~2
Yes ~ Q
No--. Z
I
---.;-+-,'·...f' PROPERTY AOOR~
Acreage ¥
Registered oler
Ycs l:::::::&.i~70 'Z)e>D~ 4P NoPo::-O
3
RESIDENCEADDRESS (If Different)
Land~ ]
Yes~_ -3
No__ '~~e~~~~~PROPERTY ADDRESS Acreage v-j' ~!!¥£1i1it ' me Date t'f7?01 Registered Voter 1 .:.JkA 4dl" <0-2574 DrJJ~ RJ. oe ~~s ~ ~:~ \1 w?
SilUlaturo' RESIDENCE ADDRESS (IfDifferentL Pre (1 ....; g,~~,
lAndowner 11'1.'f oS,~ 'S".r.t.~ \ Q ~"\DP5 ~~ ~\ ~0 0(:>~ '\ L r\ qT)'J ~ ~lo ~;
PROPERTY ADDRESS I\Cn:a&C__,~ ~
4
. \.Q" ,* .. lil
II)Registered Voter \.,~~ \' ~ yc~_ , ~~ N~ u____~~~~~L~~~~__~,~~_____ ,
Signature RESIDENCE ADDRESS If Different) Pre ~ 1
1\ }I It. LAndown~r U!5 , L q~ 'o~.cs<ft: 21r~h5 e;lk U1-~~s v:. j:; Ii a I lI1t a~ PROPERTY ADDRESS Acreage _ '0 ~ g ~~~I
1!.A ~ Re(!istertd 1 t~r :;. '-:5 II:~:J~,,1'v I ,-..S IX 'YVI,e.." Yc..~ . § ~ 8. ~
-No 0 =.
l....-_
I~ RESIDENCE ADDRESS (lfDiffe!:~t) Prc: ----ro (,)::; __:_=--=--
~
0
rA
-g
~
W
Cl6
~ -<
[
E9
~
W
~ :!::
0 ~ , ~ ~
NAME OF DISTRICT: /tl.fql{;.. P.te ]>.~f"'ic;...r
OFFICIAL SEAL
GEORGIA ANN SPRINGER
NOTARY?UBLlC-oREGON
COM~' :;;SlON NO. 458914
PRINT NAME
,
(\(' f'~ 11\ 11"(,,,..,-,, I URf1 VfrtntN~;: k " \ )l. (1 i h:.J
,\
.'iNtvt c-J/\ \6"" v Lifa /1
Signature I.J 2 I D I
0.."'1 1 ts D e(.sc"'1{....
prin,?)Ne J ~} / , )//1'\ _'r\1 _-,-f ( f.", i
f Signatu,rt if I
:3 I," "
f?clJ Bnclar?oY--,
Print Name
.lj ~ r" '"\IQ..A La 1 M cl P J. «Ii z::r.,. ./
Signature
4
.5
~l~~D I~~~i;:~E~g::;~
(If Different)
-() IL I v :i ~, -p ~. \' !,~ v v},. / of""
1 (~...>'\..i.)~ 1~V'\.,l../l, C~ ,~
"J.~c-J...I\-:I'r)!\., .,'\...•1 A('\A C~I'" I"Y',2.r~ j~~l(~./ ~(,. -; f ~
v Qq~srl t>C t r'&1;)(()r-~,\.
" ) . ''', (' -} .... ("'~b~ll:2 PROPER~~~futESSCK. ; : 'j!
~~:BR
TERR(TORYI
RE01STF.llEDvornR IN
nIEPRoPOSIID.!!!
TERRITORY..s
Lalldowner
Yes ~~n:~-t=;
RCII~CdVOitr ~: ><
Pte :II
Landowner ~~s~_
A~
Regl.Ctrcd Voter
ycs25....
No
Pre --:iJ""
Lalld~ner -::~
Acn:aac __t7".
RcaIJlerC"(i"'Voitr ycs~
No
~:..l:""..
N~'-~-
Pre -0
LlIMowner ~C$-L A~n:age ....n
Re,istered Votel'
Ycs_t_
No
PIe I ()
ErI\ ~-'
-; ~. ,) Ii ~'~!
i,) .1
C/)-.. II,. ~~ ',SA
ffi rf c·-.M ~ >..e~ "'-' '{] ~:2
II:: ItM... i:I'! : t
CI) '0, 1::It
1:11, eQ ~!:2
Date
~
t3
ate
3 ·21,\3
Date
RESIDENCE ADDRESS (If Different)
' ,ge ..:/, cL
Li{t, g;;\ck~br LVI, "1;:;7'0"
PROPERTY ADDRESS
RESIOENCEADDRESS (If Different) ,
2.1:1:919 Wc.bcWocLat)!l-
PROPERTY ADDRESS
RESIDENCE ADDRESS (rf Different)
)#11 0 1~5j 4 39. E.J J<=.L.Lt .Q t2t~[)
Date •to &~5~3~ 0 R
RESIDENCE ADDRESS
_ -. ,1!?, ~5'if}0 /; (Is.. bHZ: I;fL j..J£) ~v.i {} PROPERTY ADDRESS
Date
RE.SIDENCE ADDRESS (If Different)
I;i
~
.1:; 1 ~ ii, I '
\J i'~
is ~
~
§
c
U
iii i
-:5.-~ ~'i
~ .~
.\! t
~
, §
co ~.
:. Co
, 1 e;.
,~=
--= .S
------'
N&;l
("I') -~
~ ~
"
0
(-0
<
0'1 ~
0 ~ ~
~
___VU,{"r)"" "lIo!k~":...,atl,..u._~•••,,••n.'.~="_~_"_"_~,"""""""_~4''''''''''..~~.0"__=,",,,,,,,,~,,,,,;;,,,,,,,,~.,,.w..~''''''dd.''''-.o.~_.........,,.~_,,,,,'''·'"""""""...."",-<>,~"""""....,''''~~~''''.".\o.:I..:.l..~.....,,~~W\O IS t 'I ~'-~ »", all. I ~~t_'dOIl"""hYbW't'. ~:..:.t.~
NAME OF DISTRICT: AI ~l*"-p,'re. ']>;,>1,.:" r
'
OFFIC;Al SEAL
GEC'FlGi{'. ANN SPRINGER
NOTARY PUBUC-OREGON
COM:, ~SION NO. 458914
LANDOWNER.DATE IPROPER.TY ADDRE§STPRINT NAME fNTHESIGNED RESIDENCE ADDRESS PROpo'~ED(If Different) TERRl'rORYI
REOISTImED
VOTER IN
THE. PROPOSED I.~ :t+ \
TERRITORY oS J I /J
2
3
4
5
2
NAME OF DISTRICT: A (~l t~ F;re.. ])..:>ir.cA
OFF!CiAL SEAL
GEORGiA ANN SPRINGER
NOTARY PUBUC-oREGON
COM~' 'SSION NO. 458914
PRINrNAME
:OC~jCKLS )}'1 G~·LL
Print Name I . I tl I hk~ ,
.-;--...... ,..,. (' /1 ) 1 /-; ---"r/"' ,
-i.,,,) kc,#·/,,;) J /·L:?l.11Lki r, J
Sianature
v••~ No __~fCLV\£c ~h.er:t~~ j/•._ J.J6J~2zi9k@<-4l.
ACI'OIgc~Print Name ~
Registered Voter
Ycs~No __~~e
RESIDENCE ADDRESS (If Different) Pre i'
3
Landowner
'Z$'"L'tf, e PC"4;k-~1..1 Ycs...£:....y-r~ hi 14/b~ItNk1Wf No__
Acreaac....£.A.
RegISlcrtd Voter
PR.OPERTY ADDRESSPrint Name ;/Z1/11
TateI vcs...w:::::....()(;~ ~
1 R.l=:~mt::Nt:p. AonRESS {If Different)
I _ Landowner
..:ianature 0 RESlDENCE ADDR~~~ ((fOiff"'rt'!ft''I I ~-;;;
4 }::G):< :"ic & :d~;,.,.. ~ ~ j, _ ) -: ~~ ;/ ml;ante -f -e jI/ PROPERTY ADDRESS Aercasc:£ ~ .P-r-.-/ Date { RCII,teredVoter
-tt~ t/~"/~ 'l Y}I rOCrJ L./) i:,' -::::..
~ ~~ . RESIDENCE ADDRESS (If Different) Pre "Io
S L_lldown~r ~ €6ltA. bC"ASLA.;'( .' . 2S2.jQ GI.../<" LIU ~e5 ~
Print Name 9> -Z 3' (S PROPERTY ADDRESS A~rcagc I{."$
~.~. Date Rel!I"~red"Olllr . . \'e.............
~ ~--
Signature RESIDENCE ADDRESS (If Different) Pre JiII
!..ANOOWNBP.
rNTHE
DATE IPROPERTY ADDru;s:.!;J
StONED RESrDENCE ADDRESS PROPOSED(If Different) TERRrroRYf
REGISTERED
VOTER IN
nlE PROPOSED
TERRITORY
Landowner
Ycs_i; ·:1"100 til il,""m'ilitl /5, "J C>t2 No ~'
3-.J.3· 131 PROPERTY ADi5iESS Acrcagc_
Oalt Rq11l1et'9d Voter
ycs..L.
. =.......-.... ~~~.,..-_____~__
No_I RESIDENCBADDRESS (lfDifferent) Pl'Ci Q
Landowner
.~ r::!! ,th_
e' 1
~.-.,""\ _j''-.l'"'I
.8~a ~ !.
~ v ) ~: r~ l'Ji Q.,.j 0 ~. .§g::r. '-' >.= ... ::£
-~ e.. j:::)~
(1)/ ~ 'B
P, ..J
',tl a
·":':-'0 ;g
'" 'if 1
oS '_ ~'-
. 'f: ~
I:! ~:s
~"'""
'G'
~ '1...
\oj,;" ~! i~
'0 st.
.c;..
§
0
U
N
N
0
c-A
0N ~ ~ ..... ~ g
L..
« r-
f:: ~
;:.<:
W ~
~
0 ~ ~
~
------__""'''\l¥h.S'iIfiII::we!!''''Nli''IW,.rp;;i.8Wl'Jf.!j4$t,tl'lfl\'ni~"¥&i-¥bo,M:;; ¥vtM",,,n"'IIiJ,%tlj ;P, &~ IX).; • ; @"",(4P. y" )li)JNKOMi!! AS ,'1Iij'i!!I) 1 iU;;:;W;;:W;';;:iI!.@,Q_·'jl!,;O: ••!1!it.fi.;;..k:W'''p~"i\!illiilt IJII' ·+'WI, • OliN! ~'~'''b2l'\Ii,~~
NAME OF DISTRICT: A(-AI fA. Are ~;str.·",{-
PRINT NA1'v1E DATE IPROPERTY ADDRESS!
StONED RESIDENCE ADDRESS
(If Different)
2
....'"
3
4
f?t\v~{~ rYl~t1-Wv .t.i-1'7/~,J t..49¥S btd1-do( in ~
PrintN"e ~PROPERTY ADDRESS De... Q'1iDI ~~~_~ Date
Signature I I RESIDENCE ADDRESS (If Different)
.. ~(cy LeAv3/~z,b'~' 2~~5 ~C¥kI .~
Date
Print Name-1 ---.~
7~LJ.e
Signature RESIDeNCE ADDRESS (If Different)
((Uti! ~Q..kLCL~£lr :p &gorto<Trc/wftiYl c0ntM eJ
Print Name -B PROPERTY ADDRESS
/1 h /i . ate
L.IIJ)p ~ad.L-f' I~Il~gnalure RESIDENCE ADDRESS ({fDifferent)
I~. D~ ~ --~ ~;2£::O 00 . ) ~' )'£Q ~ \'f v..:t2el' . C \\t\e;:KTnPr~nt Name. ~PROPERTY AOOESS
LANDOWNeR
IN THE
PROPOSED
TERRI'I'ORYI \
REOIS"EIU~D
VOTER IN
TIm PROPOSED ,!a
TEruuTORY ~
Landowner ~
YCS~ 0:::71No_!": 5Acruzc:::;;? ..::i Regllltc~VolC!r ~ ~
Yes ~ ...
NO== ~ Pte 0,0
Landowner ~-
Yes ........ Q... _ %1.
Acrcqc ·.... --5 @q: N< __ N
Reglscered Voter = S"
Yes"":::::::" iii ~ NO_~.... 0
Pre '0;:):;:' N
Landowner CI) -3 ~ ~~~-~~I ~
ACI'IIIIc S ~I 0
Re:lslcrtd Voter 0
Ves-==::::: f-
No <Pte --.-0-ui f-
IAndowner"'
Yes ~. CCNo=-X
ACI'CI1Qc4.a ~
( . \ D ~. . .( Date Rell'le~~Votcr ~..... UJ
\). Ji~~rJ.&v~G' -::~ 1
. '-!> --"--~ -----~ ..-.---~ ~
11 j >!l ~I 'll .../' NC IQ.
~
Yes-li-. \ gNo C
SignaturJ \ I RESIDENCE ADDRESS (If Different) I PTe ...LO U
5
________ __ .... __ _
NAME OF DISTRICT: fr I t~lfG... r:r<-"D~,.trk:f-
i~Jr·F!C!.~L. SEAL
GEOfli3i.;, .::\~'.JN SPRINGER
NOTA;:>V?USLlC-OREGON
CO~,;;· ,SION NO. 458914
2
3
4
PRlNTNAME
(lteve Elm: S o,.j
DATE IPROPERTY ADDRESS!
SIGNED RESIDENCE ADDRESS
(If Different)
J(J;3 I d. _7'~7~ /)j£(lJ e .La J
Date
,2'l$1.
Date
RESIDENCE ADDR.ESS (JfDifferent
t "]I to i2c-se/'vr Ie l
J-,)!f./j> PR.OPERTY ADDRESS
Date
fW' .u.~w.",
5 , /
? -.~,I./.;;, ~0(j:...J
Date
RESIDENCE ADDRESS Of Different)
·--------,----------""_I""'''...'''''''':$Ilf_
I.ANOOWNER
(NTHE
PROPOSED
TERR.ITORYI
R.EGISTEREO
VOTER. IN nm. PR.OPOSED
TERRITORY
Landowner
Ycs-X.
No
AcrtaF i...../
Rcglatere Voter
Ycs.2L
No_
Pte
Land~r
Yes
NO_ r Ac:rcaF~
RCltllt,X:' Voter
YosNo __
PnI
Land~)t\!r
Ycs-A-
No ../Acrt.=S
Rql,lercd VOler
Yes :~
lA1nd~_Ycs_
NO_~Ac:1'IIII8¢
Realltcre Voler
Ycs~
No
Pre (
LRI1downer
Ycs-L NO_~AcrcaSC
RCfistcr Voter
Ycs-+
No
Pre --:;-:::,
~
.!!1 II (':1
.;;
c:Q ;a
~'i:;:)5
CI)~
1,1 1
. ..J
.Jj 1~ W*~~ "'g.g .
ti
':'1 ~.\j........
1:
.;. -:2
v (j
YJ ! -4l
' '0
I oJ.'Q Q
~ g
C
U
~'i
N
~
M
o
N
~
W
~ o
f::
-<
I
~
s::
EJ
0-.
I£)
4-< o
o
~
~
til
Q..
...U"'•.,~~..."'~~~_"'_~~.,.oo~_~"""'"_.. ~_'_''''.mll~m::: i rw;t\m_iPI'lIJI_~_~ \IU~:Em! w,., , IIJ ~J.:!1~ 1 !MIl. 'I!I!(\OlU I.!I!! e_"~~. "I ~ ~. """".~
few"eM it? "1 [N'1 '} !nI1't""¥Wjf!tl!!Itj~.t t* '1 at ttt :Ht*wW'rl"'< 1*# 'fqt. tW'¢'
NAME OF DISTRICT: I} lip. \tA-f]'f"e.-]>/sf< ,'c,T
DATE IPROPERTY ADDR.ES~PRINTNA~ SIONED RESIDENCE ADDRESS
(If Different)
u au.d..: CL GreeN 5 ~~ 1 d2fcllol Wi /(a.vct ,q cZ B-el-iC-f
Print Name !J 13 PROPERTY ADDRESS
~«~ Date
Signature I RESIDENCE ADDRESS ClfDifferent)
2
--;~ tI.l D; In A 'rei i a 1--, L ~;'ll" Qe>cbuffi &l ~NJ
'..., /Z9fl3 PROPERTY ADDRESS11' OUte I:4d .h1 41}
I I Sirmature ~ RESIDENCE ADDR.ESS Of Different)
3 I . \. .
'Brict V1 ~rhrOUbL:, _ '31S--o [3e V1 J RJ
Print Name 1 :2 CI-'2'ROPERTY ADDRESS
Date /C?:=:::
I Siinature RESIOENCE ADDRESS (IfDifferent)
4 I I J
I ± ±K~ w VJ Y\ \ Q A!(pr I"£'-~ <"S' s"S-O-=+Cpl~"'-L ",Jprinl2l: .,.-n PROPERTY ADDRESS) S' t?Date 2-~'\ e () Q q II()I ~I .. -. \.. 1 . . - -. _.. ,J. --_. - " _.
C ~ Da..eE .II~.{t¥ 4MQ, fSignature~a RESIDENCE ADDRESS (lfOifferent)
LANDOWNER.
IN THE
PROPOSED
TERRrroRYI
REOISTERPD
VOTER IN
nlE PROPQSP..o .r.!
TE~ORY ~
LanL:nCf II)
Yu E!I><\ I No 15-
ACI'ClIIC -L.J... :8
RCilatcrcd Voter .e ~
Yca.A;:....
No i
Pre Lfl i
LI\ndowner CI) ~
~:..2L ~: Acrcaal!~ ;:,f e~
~ttNld Voler = ~,:.;L ~
Pre 1ZL § ~ i
Landowner CI) .., % ~,:..K-.{Acrea~:::t
Reglst VOler'
~~S_.
Pre ~.
l..aftdowncr::i~~;.;7
...._£...
Registered 'Yoter {l-
Vc. -;;../-'liNo -r-Pre T!J':': j I <
Lnndl'wner ~I YC5~
No I
Acreage:tl-'0
R"",,,, V.", l>
'Yes X c1'1(1 -'-S
Pre:L2:L U ,
M
M
o
I
M-
~
~ ~ ~
0
f
<:
t:E9 ~
~
a~
0
'<'t" ~
e1
O!
2
3
NAME OF DISTRICT: A,~(~ F;re... J).>fr,-c.,t
OFFiCiAL SEAL
GEORGiA ANN SPRINGER
NOTARY PUBLIC-oREGON
COMa,"~S'ON NO. 458914
DATE PROPERTY ADDRESS/PRlNTNAME SIGNED RESIDENCE ADDRESS
(If Different)
(Q.~3) '5_HI nLO( 7r Jl ill_nLc---=rtl( J"{ r
PROPERTY ADDRESS IPrint Nany,e--I " IDate
l ~&:£Q-lt rq,g I V\
I
3 J-q
SI2natUre RESIDENCE ADDRESS (If Different)
b33i.;-f)LP/IV! rat/1!C Me L 11tt(&
PROPERTY ADDRESSPrintN~ Date, ,z:j/Z "1r ~M ~
RESIDENCE ADDRESS (If Different)Si1!nature
j/1pv v/.? f Cvuf'f-f-5
Print Name PR.OPERTY ADDRESS r Date I ~,./1 ;,p~. -3/24\ G:> '1555 Ittf/];E TILL
R.ESIDENCE ADDRESS (rfDifferent)Sillnature
4 ./lJl/!-~ BluACr
Print NamefltcA 6~ ~
Signature
5 1 0,+ 1 1\ lA STCc (",
Print Name e~ ~
{ '"
sJ!1a _.'
1 . ('3'1&O ftlplJJ~ V(J1 ra PROPERTY ADDRESS
Date
RESIDENCE ADDRESS (If Different)Il rJ Ib .
2'iCf5() C{ eLf/),
.3 '3/11:' PROPERTY A.DDRESS •
riare /
LANDOWNER
rNTHE
PROPOSHD
TERRI'I'ORYI
REOlSl'cR[-lO
VOTURIN
Ttl!!. PROPOSED ,!!!
TERRITORY oS
Landowner ~
YCS~ INo e!/Y"\
-"{) ~~ AcrcalC~ Q)
Realslcrcd Voter ~ ~
YCS~
No ~
PICE" c:
Landowner ~
Yes~ 0>
No__ ~~
AcrcaF~ ~
Registered VOltr i8
Ycs-x""" i:i!
No~ ~....Pre -.LI..!...-!XI 0.=3i;'
Landownu A ~
Ycs-4-~~
No__Acn:ase~ ~
Registered Voler-::,s.:L-.
Prc ---;-f}" I'i
l..andowner ttl~~2L. AC~
~~:~Voter i~) ...... ~~~.
Pre ill -1, ~
LRndowner»1 .~~~s....:6.. ~l ~
Acreage 5 '0 ~ ~ctli~lercd Vol~r ~ 'Q \C5~ :::I.!!No 0 .9
'-."..
1
'5
!! e ~ ~
i g
~::g.!
oS
::J
.j\
~
~
.~
c!l
Ii
)3
Ii
.. 8
oS >. N ~~ ~
If ~ ~
II 0
1) N
it 0:::
W.l
0
0:::
0
~
<::
f
§ ~
W.l ~
trl
'0N
~
1
~
I Signature RESIDENCE ADDRESS (If Different) Prc ~ U:r:
OFfiCiAL SEAL
Geo{':~;p< ANN SPRINGER
NOTA~" PUBUC-OREGON
Co.W "SION NO. 458914
NAME OF DISTRICT: A: (ft.t,t~ H re j):ffr,'",r
LAN[)OWNr~I DATE IPROPERTY ADDRESS!PRINT NAl\1E SIGNED RESIDENCE ADDR.ESS
(If Different)
(;2ill(p~s.cl t Uao f2d
PROPERTY ADDRESS
RESIDENCE ADDRESS (If Different)
2 .4-, rl_L ,_ ,
! (Q3CD(Pus;cbuks1~d
PROPERTY ADDRESS
RESIDENCE ADDRESS Of Different)
..
.) I~, r::hh~/fY I~k-t'tlct fJ~~t..Q I¥"t/--t.~171.f PROPERTY ADDRESS
Ie ?.A-~
RESIDENCE ADDRESS (rfDifferent)
4 I I / /-14// ~ I
1 1-~O$S A(e,'n-e.. L0n-c.
PROPERTY ADDRESS
B RESIDENCE ADDRESS (ltDlfferent)
5 I ZS"O~5 Mel'ne Lan""€.~o t:/<:).."f-LG') .d?fr,~j))O zAZ£
PROPERTY ADDRESSPrint Name ~
Date ~~~~
Sianature 3 ft~J RESIDENCE ADDRESS (lfDifferent)
(NTH!!
PROPOSED
TBRRl'roRYI
REOISlT:IU~D
VOTER IN
TIlE PROPOSED 1
TSIUUTORY
LIndownet'
Ycs....k.
N°-LAcrcqc
Rccbcered Voter
Ycs';:No_
Pee 10
Laad~~Yes
No_ Aereaac~ ac,,_r Voter
Yes~
No_
Pre '11I.
Landowner
YC5_
No-L.....-
AcreaaC -!::.
ROIlllertd Voter
Yes..&..
No
Pte nr:
lAndowner
Ycsk::
No_ A~l'CAIc :s..
Registered Voter ,
Ye, v "
NCl ::;: t
Pre ~
LAndowner ,~ Ycs~
No ~ A~~5
Retli'I<!l1!d V()IU
YQS~
No
Pre
.!!! .:;
eQ.....~"'1
l.::t
.8fl1
$
~
i-
o ~> ~-~ fifI=. ~ ~'s ~t 1 ~~I !~
' .J.§
)"f1:!Iii
tt ll2is
-
~1
r~
I
.1J
~
.II! :i' ~ f
N
N
0
I
M-0
N
0::: w
~
0
0
~
-<
~ >-tIl
::t:
><W
I
0
II"l...
0
M v
Q)
~
~
NAME OF DISTRICT: A (f~tfa... (:rc.-J:>i}Tr&'c..-t
')J-f!CiAL SEAL
\:lEC:;'J'3U~ ANN SPRINGER
NOT;;"::"t ::"IUBLlC-OREGON
COil',SION NO. 458914
t.ANDOWNttRDATE \ PR.OPERTY ADDRE~PRINT NAME SrONED RESIDENCE ADDRESS
(If Different) TERRI'rORYI~~SHD~ . ~'
REOIS1'ERED '~
VOTER. IN , \n
Tl-IBPROPOSEO .!2 ~J-.:
TEIUUTOR,Y -5_ ~ .. _---~
i ~r Il tV k I'l'f\f(J jp Ie d 4;,~ :Z.?/9''1 4IA IIA-/'1)f J'.1'f::"'r'. ~1::! £~,'_ I PROPERTY ADDRESS , .....X :i l
, / Date .::I ~ / If ~..""v,,. .9 ~ Vi::/.Id, {/I--" No *-~
ignature RESIDENCE"ADDRESS (If Different) Prc 'A(2' ~
2
1 (\ , ) Land?" en ~
bJ1n () e. tv,. ShD ff11e.r-,// t.. '252-3/ IJ.I{aJ f4 ~l kl. t:.ct , ~:-~ \
Print e 4/ I ,42';1 PROPER.TY ADDRESS AcrcIic 10 ~
~ 'Jt/. ~/Oate _v"',,,,~ ~. J, ~:s-L ~
Siana RESIDENCE ADDRESS (If Different) Pre tii ~
3 t/~ l _ . ........" '" A-t:'..: cA 5fJ'e(,~ 25J.b I Mfo...(~ ){J;..1.t2/ 7~1 ~:.z: (;OJ
Print arne ..J/.LJl PROPERTY ADDRESS ~Acruac _
~~ Date I ~:~tst~Volcr ~
I Signature RESIDENCE ADDRESS (JfDifferent) Prc ~ Iii -<
4 I / J 'I M· / P r .:/ / Landowner'" t::
lrtA-iJr1t t )IJ~ (t '1 I.'. JSttl frI(f~/1"4 f/v!£ K--C ~:...25-i
Print Name / fir PROPERTY ADDRESS Acrcaac L.. ~
\ ~~2:p.~ Date' 'i 77 u ( ~Lv"" N~~~ ~
ISia§l.rufe RESIDENCE ADDRESS (lfDifferent) ,Pre 7?T ~ <,Cl ~
5 -C::-, f) 1 f/ 1 (JU~ ./)!l Landowner ().~ 0
'itt..., I< S,i'eckec /J. ~ ~.'; 2{;;).6 J /-d!fl::,/'TCr FliJ _ A\aK· ~:~ /~I )j !
Print Name ~ -//flr< PROPERTY ADDReSS A"--(' .. '" .. ~ \ Date I Rc~i'tu~r ~ :.
Ffi2 d; 6rne 9'»01 ~~...25-~
Signature RESIDENCE ADDRESS (lfDifferent) Pre ~ U1-
NAME OF DISTRICT: A l-k.l f4L h'y-e... »"5tr,"C,t OFFICIAL SEAL
GEORGI/l. ANN SPRINGER
NOTARV PUBLIC-OREGON
COM,,!'bSION NO. 458914
2
"'\-
3
4
.5
PRINT NAME DATE, PROPERTV ADDRES:~
SIGNED RESIDENCE ADDR.ESS
(If Different)
t.ANDOwNl~R
fNTHE
PROPO.'iED
TERRITORYI
REOlS1'ER.SO
VOTER IN
THE PROPOSED
TERRITORY
~ ~ ~_uKn 0 ':L5\8i~\%' N\~tM ~:..LPI'INaI1le~ 4-(-I~ PROPERTY ADDRESS -,..;;;;p...a:.
~ Date Regll.ered Voter
YCS~
No_
-:nature RESIDENCE ADDRESS Of Different} Pte ~
t ~ ~ ~ -~~\~ LM~r<nil \ ~~W'O ~X\,QU:t '-lAt\:Q, ~:-
'Print Name PR.OPER.TY ADDRESS AClI'~
~~~ ~::I'~Vot«
Si2lUlture RESIDENCE ADDRESS (lfDif'ferent) Pn: -:LL.I T':..... :e ..--.-~ ~OWfter
r-\"-JQj:b(W c95.319:D:'£rLo Yel Pr~Nam. s::Q PROPERTY ADDRESS A --;-C
«(fJtb ~ '-1)~1 ~~
Siinature RES1DENCE ADDRESS (If Different) -:LZ!..
~-.D.:1 d>e.£r l.o
Landowner
J),fill!2. ft:aS Ycs~
'1-H -13 No
'Print Name OPERTY ADDRESS Ac:r~
W'UJ~£tS : Date Regllx-red Voter
YO$
No
SiQnature RESIDENCE ADDRESS lfDifferent) Pre
I t".
ZSO bS A1~i ~lE ?:At
Landowner
\ Ycs~ I
4412 No
PROPERTY ADORES Ac:n:ageX-
Date ~Mg-
Rt,lst~red Voter
Vcs~
No
RESIDENCE ADDRESS (lfDifferent) Pre -rr:r
. ."
'"
'~'""' .~ ~ ...s I '{
A ' ;;.)
! l-t
i I ~I. , ....o ,0 t := o
U
N
9
-M
o
N
~
@
~
«(
E-<.....
CO
~
I ""
~
0.,.
'<T
(I)Oil
IQ..'"
\
NAME OF DISTRICT: A (+",(k F:~c-Yt'Str(vr
Of'flCtAL SEAL
GEO:MGIA ANN SPRINGER
NOTAPY?UBUC-OREGON
COM" ",SION NO. 458914
LANDOWNERDATE \ PROPERTY ADDRESSI,PRINT NAME rNTHESIONED RES(DENCE ADDRESS PR.OPOSl~D(If Diffuent) TERR.lTORY!
REOlSTER[iO
VOTER IN
nil:. PROPOSIID
TERRITORY
ulIzncr
Yes£J~t)~Se. ~r, ~,4-t3 1~£~6)y~..,e lP" No
Print Narne ~ _ w. ....... .-....
Acrcqc~
Reel_cd VOferDate YC$~~ -~' JC?-../he.< 1'10_
S.!gl\ature RESlDENCE ADDRESS ~QfDlfferent) PrcM
2 Landowner
Yes x..~r j.. J:)Q Co.'¥.-p~ 1'10-__l 'I? 0.5 j)~e.~ CA,/)-'" 3 PROPERTY ADDRESS ACrCiiC....i-
Date 'PrintName~ RClbeercd Vatu<rg.-. Y1l5~.......... ("
t....../ .. _ No --;--r'Signati'e .~-....RESIDENCE ADDRESS (If.Dlfferen!1 Pre ..LLL
3 Lan~GrYesIu~l~/~,{c~"-L L! t12-0 '&<r Li.-
No -"+_{(j I L ••• • •• Acre ..tL.
08._
Print Nam~;1
Rcgl~edVoterIt.. I 411'~ Vest71Z~'"-_-No _
i.~
4
...---..--.~--.---------
NAME OF DISTRICT: &1 ~\-Ca.-F.'rc.. ~~trl(.,t
OFFiCIAL SEAL
GEOR3iA ANN SPRINGER
NOTARY?UBUC~REGON
COM;\"SSiON NO. 458914
LANDOWNS.DATB IPROPERTY ADDRESSIPRINTNA~ rNTH!SIGNED RES[DENCE ADDRESS PROPOSED(If Different) TERlllTORYI
REOlSTElUlD
VOTl1R.IN ~
.10 ~ I\/lntE PROPOSED
,..> TERRITORY oS
R(') t') (>J Rr G A) () eS n/ I &,;(Z60 t);)dd~ K d -:1Id~
PrlntName "1'/..5""'//3 PROPER.TY ADDRESS A~& 6 Ii.. /J j 'Date Rqlatcrcd Volar , ur 6:fiH!(/ES ' ~:-S:::::
I Sianature RESIDENCE ADDR.ESS (If Dlt'ferentl Pre Iii
2 I . Landowner
l'MO'THy C. 5~AG-4S '4f~ :J.53c{O .A\rc..\~,,-t'~.s;· h~; ~:..:£-. __
'... • Print Name . TI (J PROPE1TV AOOR£SS A~.5
,Date RellaCtred Voterlhn-Ab; C. '#; . ~:..:E-B
I Signature ~ RESIO'ENCE AODRSSS(JfDlfferent) PTe -:::l2f.. ! ~
3 I. . . . Lallclowner en 'i.
hJ'n d Yx -.StUj J; So u _3 J,S-31(0 41rt[ I fc~ arJ:..t, td '::• ...:1-1-)\ .
Print Name 7-5 I PROPERTY ADDRESS
< A~ ~
):;J;~ n/ . Date R Vottr V~.,..J./tAJ-'f!J-,ff;;? Yes ~
I I Sianature ~ RES1D'ENCEAODRESS (ffDlfferent) ~ LO A "\
4 I~ . 'A'_'tk_ ?: 0...;':--" 1-S,,'3 ;)!;35t;·&llJfIJklt/. £(, ~:..6-
Print Nam (/ PROPERTY ADDRESS Aorup::£.. . /' Date Real_Grid Voter .4~ ---t/, < Y .:2Lf//"''1 Z: :zc, .:
t Slmtlture r / RESlDE'NCEADDRSSS (ItDlfferenll Pro~"""t>
5, /J t.A1I~ntr
~~L'1-HC=: L J1t>bel"t-; LJ.-,._(l J..5q}..q, C.~/tk.r 1..1\/ t!oMI fllq7li i:_ ~P'?t ,6iJ1t mei~ -I {, / PROPERTY ADDRESS ACIIIISII-L/ -' 1 Date RClIlllltnld Vottl'
/I,r ""---Yas-X; 1/ r No
Signature RESIDENCE ADDRESS (If Different) PIC
~
<78
Ne5 ~
0
0
l
<:
t: ~
><:
IJJ
I a
!
~
0
~ ~
NAME OF DISTRICT: A l ~.-ot (t,,-F.'l'e-'j);5T,. c.:t
ui=FiCIAL SEAL
'JEORGIA ANN SPRINGER
NOTJl.flY PUSUC-OREGON
COWl;' '~310N NO. 458914
LANOOWNllRDATE IPROPSaTV ADDRESSI
, ....... II...... •• "'..... ,...... .r-v""""'I 4 -0 . 13 65'!:\iaD CyJB'%?U\. ~,Q:t. c:rrn
PROPER.TY AOI:lRESS
RESIDENCE AD01\BSS (ffDltTcrent)
.
. 2.';~bt/ C:~t&a I.~ :1-~-\~ PROP~TY ADDRESS :?
Date -I
,I ""M!r....• RSSlDE'NCE ADDRESS
PRlNTNAME
Lalld~er
\ ya~~~
RClI'!( Voler
Yet
No_
rte
LAadowncr2 Y--X
No_,-IAcr_-u-R__red Votor'"
Yos
No
PnI
LAn(O)Yftllr3 Vos-l:::.
No_
Acre.::::t
RoalllerCd Voter YCl~
I ~
lAndowner4 -:::~
Al:rUiOl:=...
RqlltcrcdVoltrYo,~
I *Pro r s 7 ,r -.. IV._ I':) _ , • I LA
Yes
No-----r.!PR.OPERTY ADDRESS ACICISC .::.l.-~~-\
Rctlllfs;ed Vo"!rDate Yes J', -No
RES1DENCE ADDRESS Pre~
[NTH!!RESIDENCE ADDRESS PROP¢,'mD(lfDIt'ferent) TEM.lTORYJ
REOJSTERRD
VOTI!R.IN
TtiE PROPOSED
TERRITOR.Y
SIONEI:>
Q
'~-~l
-S.~ '2 ~ ~
I
4.J ~ ~
b-"";;. c 0 ::2.1i10 .!iI
U rn
8
M•-o
C"I
0::
IJJ
~ o
~
<
f-o
ai
~
P.l
0
V) ..... o
00
-.:t
1
<1.)
NAME OF DISTRICT: It l k l h. Fire VI' ~tn'c,T
'J;:'P1GIAL SEAL
3!:ORG;r~J.\NN SPRINGER
NO-:Ap,V?UBUC-OREGON
COM, :.>SION NO. 458914
DATE IPROPERTY ADDRESS/PRINT NAME
SIGNED RESIDENCE ADDRESS
(If Different)
.' ,). t/1StJ CJL7U5 {...I'/?J~ c?r1JfGf?'{ -'I ~I~ PROPERTY ADDRESSPrint Name ~ .--~___
r~
Date-,-
Signature ---~~--I I RESIDENCE ADDRESS (lfDiffere]lt)
2 .~
p'rlnNme'~i4"'\ f/-'IA Jrl '--I" . ~ Z--.'. 'tIr. 1P' 12 J.,. 20 ~ .1-,,~~. ~O)'/I)D ~PROPERTYADDRESS ~lor LI/'-
Sigf{~ ----v RESIDENCE ADDRESS (If Different) ...
:J S:t.c Q..,V\ \-\e.(\drl'¥ t1/r?/l~ I 1.CS22.0 &.cV\e10~" Lv"\
Date~~
Signature RESIDENCE ADDRESS (TfDifferent)
4
/J\¥W COC.-I-I/CAiJ ~2.;'2CeO &tc~elQv l...Jo
Print Name 'f 13 I PROPERTY ADDRESS
//''' "~? . ate /~~() c.y.-t< _
f-:--,---+ Sinature = RESIDENCE ADDRESS (If Differ~t)
I.ANDOWNER
[NTHE
PROPOSED TERRITORYI
REGISTERED
VOTER IN
THE PROPOSED.~
TERRITORY -=
LandTr ;g
Yes -1f!'n
Acreage .:) ~
Reglsterejl Vorer ~ i?.
Ye$ X ...
No _ 0-
No--Z ~ c.:
Pre .L.;::::.. ~
Landowner V)
Yes
No=:E:'
Acreage =..2...
RegiSC)r Voltr '
Yes
No
Pre :IIL
Landowner
l
'1
•
~
:> './1.1' • ' " ~ 1--7 \ '0 r~ t 'l, ' I yV l.nndowner lr;)i! ~
-;-' -.~/ I ;-v.Jv"-:/ L..) J' Oc'\ e.,~ r: p.. Ycs~ :,f, ~ ./, f.!f-z "No I! .uPrint Name r PROPERTY ADDRESS' AC~_ '0 ct.--./ '/e \ " . te j Rcgistucd Voltr ~ 7 -I( ( I Y 'I eo 5 L.. \ YCS-J>--§ , N(l 0
L--_ SIgnature r RESIDENCE ADDRESS (If Different) Pre =m=. u
Yes \ !No~ d B 0
Acrea"e:> -..il 'cr i0__ _1--0
Registered Voter \'I.,
Yes }<. ";% ,g--;.,.No __ ~ g, \
Pre .L21.. en 1! .~ ~
Landowner '" --= , ~~-~~i"cr~ , ,i.
Registered Voltr ~,-.. ~~~k-~I
Pre ~l,I ?
N
N o
I
M
o
N
0:::
W
~ o
~
<
f--CQ
~ w
~
0
0\ ~ ~
t'3 ~
NAME OF DISTRICT: f+ l f""l k. Hr e )),'$frra-
Of.FICIAL SEAL
(l;EORGiA ANN SPRINGER
NOTARY ?UBLIG-OAEGON
COMI\.l:)SION NO. 458914
PRINT NAME DATE
SIGNED
\ PROPERTY ADDRES'S/
RESIDENCE ADDRESS
(If DitTerent)
I...ANDOWNER.
fNTHE
PROPOSIiD
TERR.ITOR.YI l~
REOIS1T:.R.FD
VOTERI'H t
?V i0 E>1'ie~"a 1rJi-1 IZS't25&,IK~~ L
THIt.PROPOSED
TERRITORY
~:d=--.l No ......-
Acrc-.:zc-C
.!!!
oS
~I
0....
II;, ~
W~Srgnature 1'= I ----RESIDENCE ADDRESS (If Different)
RcclslcrCii"VoiCr
ycc ...&..:::::::'
No_
~ fiI
~ •
~
...
2
$0())>''-1
Print Name El
12\)8 e'Vo,&'"
ij-i 1-(3
2SLf Z'i I?Ld;t1 £&.-
PR.OPER.TY ADDRESS
__l.d.~ Pro '"Landowner _--
Ves~
No_ cAercap --2
~ (1)
Q~
~::.
9.).N
'\.>< ,...L,d., c.' ~ 08·· ..... ~~Is~cr r ~
I
M
~'-V"t G1A
siJ18tUj; J LA (y>
RESIDENCE ADDRESS If Different
No
PnI
~ ....§ ~ 0
N
3 I
W)(/f.c.."
\
uoha::oO
G; ~L. /7 lillY'" 1 _r}L/~D c?53Z0 ~6.!\. Landownllr~~.11...-(I) iii
1'1,
1
1 ~ ~ ~
?fin Name v. PROPERTY ADDRESS AC~ ~!~ 0
ate Reg'l:rtd Voler • 11 i 0
Yes -5.,5 I
4
,JaySo/l
Print Name
.-.
,Joh1$1/'
~ .4/_ _ ~
LI-!~f:
L ~
Date
RESIDENCE ADDRESS JfDifferent
~3 9'o!3CiJ~:j~C?/CV' L/V...
PROPERTY ADDRESS
No ~l
Pre !Ii'O .l!!
lAndowner III -5 ~:?< I
Acrcaao..s::.., ,Ii
Yc,.:aL..-t IRegistered Voter ~-l 1
<c:i
><
I
I:L.l
~~-...I;":;"'~--------------RESIDE'NCEADDRESS If Different) : -.:1 -2 ~ ~
5 IfX
,;0, h4a.craPrint Name
R
(,.Iflly • ' "Z ('i-I .f--
Lantner
Yes
No"'crt_se ff"
Y, ~ItO1'\ o.,)J ~
I ~ I~-\ i1)'0 ~. i " QJ)
D . J RaI:Q/4e4:L:
Date Re,is,llIted Voltr
Yes K
No -
C= 2:
--I
0* :s IQ.'
K. >.
.1:1 =
~
Signature RESIDENCE AIJDRESS (lfDitTerenl) PTe ~ U ii) ,__
,~...,,::~;:;:;.·:.··:,,~".·:.':'~-..f~~
NAME OF DISTRICT: A I ~O\l ~ I-lre J)·;tr'ivr
J~-:=;C~Ai.. SEAL
3W'.:CR:J1P, ;l,.;'JN SPRINGER
'\;07A,RY""'JBUC-OREGON
corvn' ',SiQN NO. 458914
I
,,
I
2
I
3
I
4
l-'.'
5
PRINT NAME
I,Ml~ kPt~G""
Print ~
, ~l's~
I ~""\t.. '-~
Print Name
~
~ ~ -~\l....c
Sigp"!mtre
I '--'' \ ,\ -L \\)~0-\\. LI fL J
int, Na~ /l ~ t'n IJ ,//(ff/I i
/ /I 1 (Ill lUi l J /
Signature' j'-"'I .v \ \ ~f:.('"\ c.. \-\\"\
Print Name ./.....
,.../ .,..~,
./.~' .A-/;e:='/""""'ISignt?tUre
I,....\NOOWNER.DATE IPROPER.TY ADORES'S!
SIGNED RESIDENCE ADDRESS PROPOSEDfNTHE{If Different) TERR.ITOR.YI
RBOISTIiREO
VOTER IN
THEPROPOSF~
TERRITORY
_ Lando~ ~", Z;:,3YS" A:.F&'-Ftt III<T R:.1> ~:-
'til? r;> PROP,ERTY ADDRESS Aercaac 3:~
ate]!!!!u"'rNl'> C 17 Q 11 0 I Rqlstercd Votar I ,.-, I Ycs~
RESIDENCE ADDRESS OrDIII'....,) ::.: /lJ
-J.1 Land~ ~ Z~3j S-A'-F(.}LFA Jr {2. !J ~~-
( \ ~\)'':J
Date j
PROPERTY ADDRESSBe;N () 0 (t... c::r 77 (j ,
I
RESIDENCE ADDRESS (If Different)
;z...' \,
.'.J'-\ ~d..\ U~""'-Y\HJ\\.J\\~ PROPERTY ADDRESS ~~(') \ dl-~1--to\
RESJOENCE ADDRESS (JfDifferent)
, s..L\ Cb&-\ ~ ~\.I ~ PROPERTY ADDRESS ~ _.0"'" ~ 0-G\ -=t--:re. \
l!l. 1
RESIDENCE ADDRESS (If Different) -n I I' "LAndowner ~I .<J 0d~6ItA~S~.:tL~~~~ ~~/11~ ;H{<iQl>Ale,0i;. (~I t 'Name "-I U PROPERTY ADDRESS•
i <"'.....rrl" Date~d:r1 _ /
, '~t(~ DIL '11ol~ Sianature RESIDENCE ADDRESS (IfDifferent)
ACI'I'II&c ;.'l-
RegIJ~Vottr
Yes
No
Pn: J12.
Landowner't:"-
Acrcaae -JE: ~lsc;eAi"Voti:r
No
Pre ~
Landown~r
\...:n ~cs~A~rcasc -~
ReglltcrTviiicr
Ye, 2:-.No::S '/ 0\
Pre yP-'~~ ~
~
.~
,s
~ e~j' j c
c 2 ...l-
f.f)J ~~
ei ~
iii 9
iii ~ ~... 0§ :. N
f.f) .f!! ~ ~" '" ~ ~
0
f-
iii <
t::
S
'/) ~
~...... ~
+:r I
~~5~ ~!~ ~
Acreage J.f2-. '0 <.:. ~
RcgiSll!fCd Voter b 0:
~::::b-~
Pre -L.!2 U
NAME OF DISTRICT: A \~l~ Nr-e Pl)7r{c-T
2
3
4
5
PRlNTNAME
1#('. --~" b Lu ~.r~ .....
Print Name
~eJj~
Sianalure
DATE IPROPERTY ADDRESSI
SIONED RESIDENCE ADDRESS
(If Differe.nt)
I/Gp"(7 I JjH61
Date -
RESIDENCE ADDRESS ClfDifferent)
~t.L<j~5 elfJfus
PROPERTY ADDRESS
S
RESIDENCE ADDRESS
I.A.NOOWNBR
£NTHE
PROPOSlID
TERRI'!'ORYI
R~OIS1&RED
VOTBRIH
THEPitOPOSED
TERRITORY
Landowner Yes~
No_"7Acrcazc ..L.
aqllc~Voter
Ycs~
No
Pre
lAndXer
Yes
No_.;......
Ac:rcasc~
acptercd Voter·
Yes .-l!::::
No
Pre
Landowner
Ycs-X-No __
Acrcaa c -!l..
Rcg'Slertd VOICI'
Ycs~
Ho_
Prc'
~~~-
No
,l:J
oB
~~ c8J.8 $it
9
~-3t~
(I)Q I.
zq..
~!
~ S,;
~i'
hI j..,j
r-l
gj
'6
N
N o -o
I
M
N
~
§
W
o
~
<:
r::-CO
E2:x: w
I
C'J\ on
t..., o
N on
l
IU
W, '~~~"-""'~"'''''''''''''_~~~''''''''.II:IoO.j~_~_.L:IJ'",~=;W~,tI\"' ' ~-'-IIII~.""~,,,~~~~~;;, ",!·'w <_____~~'_""'__.......~"..;._.............__..
NAME OF DISTRICT: A-(t./~ fire ]),>fn~
DATE IPROPERTY ADDRESS/PRINT NAME SIGNED RESIDENCE ADDRESS
(If Different)
V' J. .;}<;'-<"'II? Cu I ru.e;. LVli;::t-13 PROPERTY ADDRESS
ate
I..ANDOWNER
rNTHE
PROPO:~UD
TERRn'ORYI
RSCilS1"ERED
VOTER IN Ii
TI-IE PROPOSED .~ n
TeRRITOR.Y .e
Landowner '-/~:....1:L J ~I
Acrcap -')( ? ',~ (JRcgl.ter~r ~ g
Yea..2£..... '§.No _ en
I\'c 0 ,IiJ~2~----~E:~~--------------------+------+~~~~-=~~~~~~~-------+~La~n~d~--nc-r---l
)S:'~t1 C!' (tvs bYI ~:2:L S
PROPERTY ADDRESS AerOiiC>C.. ! :.-. C'l
Rl!gltlercd Voter e ~ :E ~
Yes..A..-~ d: '
No_ ~... " ~ Pre :;) t. 'S 0~-----r~~~---------------------+------~==~~~~~~~~~~----------+7U~n~d~~ne~r--~ ~~ % ~
Vcs 1"::1 w '_~LI3 *~ ~ Q
CJlf Acn:181l__ N "
Realstcred VOler 0
Ycs~ 0
~ ~
~____-b~~~____________________-+______~~~~~~~~~~~~________~P~ro~~~~ ~ <
I..andownC!r"" ~
Yes ~
No:::: ~
Print Name PR.OPERTY ADDRESS Aen:aac ::c:
Date RcgllterC'dVOlcr .~ ...., ~
Ya, ~
No --t1-'
Silnature RESIDENCE ADDRESS If Different) l"re ~ '2 ~
5 Landowner }/ ~ '0
Vcs_ _j ~ !""l
Print Name IPR.OPERTY ADDRESS I~~~_ ~ ~ '2
Date Refiltered V Gltr i:;-gp
Yes § Q..
No 0
Siltnature RESIDENCE ADDRESS (If Different Pre U _____
OFF1ClAL SEAL
Gl5C~GiA I1,.NN SPRINGe~
NOTAPY PUSLlC-QREGON
COM!, :;,SfON NO. 458914
NAME OF DISTRICT: A/t../{~ fin::. J)i(/;-id:
PRINT NAME DATE PROPERTY ADDReSSI iN~~wNr~
SIGNED RESlPENCE ADDRESS PR.OPO.'~IID
(If DIfTerent) TERRl'l"OR VI
REOISTEREO .;......
VOT'BRIH ,...,
TH£PROPOSED.j!! \.."
TERRITORY -S ~'~-:\--...,--_-----------+----+---------------t-:.:!I1:=.:dO:..:.wn;:.:c.:.:.r--l ~ '''lfJ-:'La-\~ISfllt! ALUE s: ,J. /. ta72SD L),,4JJ.$ K/) ~tJ Ot. ~~~ t:\ v ~I
Pring;Ne, Wz/j3 PROPERTY ADDRESS' Aereaac:-:-stO :8 0 ,~J :0 ~ Date RcglslerCd"Vokr o"~ ~ .~
c-f3 ~{??:J Slim&: ~:~ i i
SignMtlre RESIDENCE ADDR.ESS {If Different} Pro :zz:, i-' I J
2 nit . _ ' L (I'),.f: i.Lancl!lwncr , '''nm eV~reS', ,/ I ~~8q S CvtlH U1 &0 J 0/ ~:..JL. i~ ~ S
Print Name 4128 Ip, PROPERTY ADDRESS I Acrcaac -~ ~;=... ,;t ,§ .. N'1 q;~ Date ( ., Rcg.rCil'\iOier ~'-J -6 ~::I -~
IrM.::A I Yes -.2L =' cs: ('f'l~ No_ ~.... jSianature RESIDENCE ADDRBSS llfDifferent) Pro E ~ ; o
N3 .• . Landownor CI)"IiI 1 c:r::
tlJVQ.f\.\Q.\\e.. ~u.Wl(('L 7/')A:v-1; '2L\~~I\\.Q wJJl La . Be.nd ~~Xi. (j ~ § a
PtinlN~e ~PROPERTY ADDRESS 17'1-0{ Acrease ~ rl!!~ ~ o~_ _ Date ~&dVOler !:!
Sianature R.ESIDENCE ADDRESS (If Different) Pro 7ZL.. .,; B.! ~ i=:
<:
E
4 ~0,'-1--;%/'(;'/1&! '1/..,-1., () tt.'l. 22 fJ/e.kL LI1 i)(4c/ f 77:7( ~"Y'" .,i $., -CO
Prmt Name :t2!?t.l..2 PROPERTY ADDRESS Acrcaac ~ ~ i ~.Ii ~L ~.:11/' / Date Real.tllred Voter ~"....-~" J '".... tlJ~4./V-YC$A-~ I -\ I
0\.,...5 Signature _ '. ., RESIDENCE ADDRESS (I(Different) F:n~ ~11 r ~~
4-< ~u c.. 01) Q)<s DN w../.u")/, /,3i J t 7':Es~~(J7'F.:S 'len ~c;.:5r ~1 ~ ~i j .,...
o
11.)Print Name ~~PROPERTY ADDRESS A:I'C8AC ~_ 'C c ~ i ~~I ..". -,; 4 AS".A -Date 12 itr:::.h. , FJ 9 7 RctliJlerlld Valer ~ ... ~:5 t ~
( -y ~. .A a; . v '-<2. "'" ~ U.D 7 0 j Yes L. § ~~ 8. r::-lO.c..;.;...1 Vr--" ~ • "-~ "-No 0 ~ ~.!I.! ::
Signature RESIDENCE ADDRESS «(fDifferent) , Pre -z2? U rr. __-:_=_.5___
SSUi,.
JUlY. S/lt/'fJ SECURITY DEPOSIT
FOR SPECIAL DlSTRJCf FORMATION OR RliORGANlZ.A110N )x(FORMATION D ANNEXATION 0 WITHDRAWAL DDISSOLUTlON
191£41 fA.... E:(Co ·:I>."stt'I'..;t OJst:riol t: .No. ofp~In dislrld.$ 100 ....... preclnd!:!t $ ",,!,gO (maldm.urn 01$10,000).rlciltl.iJiji(IIl1ii
2. NAMB (PRINT) . SIGNA.'ltT1U3 __ ... ~~ "' , "
ImSlDBNCB ADDRESS , .. _ . .
.MAIUNG ADDRESS (IF DIPFBRBNT) ... n.... . .." ""
CITY, STATBj ZIP CODB "'U .. ;.... 3IPT7'"1 1 1-=:;:r ,'
AMOUNT OF CONTR.tBtrrION/VALUE OF SBCutmD DBPOSlT. "7" . ==
I<IND OP CON'TRIBtmON:» 0 CASH 0 BOND 0 O'IHBR SllCtJRlTY OiPOSIT
3. NAMB (PRlN'I') . , . SIGNATtJRB» ,._--_ .... =m' =" , , -.. "
RBS.I:DBNCB ADDRESS • ,. =' .
MA1IJNG ADDRESS (IF DJ.P'.P.B.RBNT) == =
CITY, STATE, ZfP coon __. ,. p'" 'W _'tt"
AMOUNT OF CONTRlBUT10N/VALUE OF SECURBD DEPOSIT £= _ . *
1<tND OF CONTRlBtmON:'" 0 CASH 0 BONO 0 01.'.HBR SBCtf.R1.TY OBPOSlT
CHIEF PETlTIONBRS
l/we h!teby. docJore Jl the costs of the attempted~rflit~A1U\iiltIiUOn, withdrawal.. or dU.oluU!)n 01iii t:,.g{£14.,. Pitre. dfa c ~th@ ~It.{/wa wJtt pay tb thuounty treas'Utet
the amount 01 the el(te!S. coste (ORS 198.nS).
-~ . ~-
3. NAME (pRINT) c.!/9~C>LV~~"$'~ SIGNAroW~.-i:A"kx. c7'JJ--£ A-<L-4'--' RBSIDBNCBADDRB~/Cd.Pi:<:::.. DATE. ,.. ¥,se&f.'j%<<t'-..l..,2.
MAllJNG ADDRESS (IF DlPFBRBNT) '" __ == -" rr· ___••"
CITY, STATE, ZIP COOB&-7k~ d'>t. ?':;;?4: ;::::: DAY TBt.'BPHONJ1 :L~/'= ;Vg?.; rU ~J ~
·Pro"Jd.ltddJlbWdescrlptlo"ol.eurltydepolll'OI\~otSfJII,*h!~, Addl~l~fll.II}'beStiWMli!pititet;betlund~.
Page 55 of 59 -EXHIBIT A TO ORDER 2013·022
Economic Feasibility Statement for Alfalfa Fire District
1.. Description 0/the services and junctions to be per/ormed or provided by
the proposed district:
The proposed Alfalfa Fire District, when fully functional, will provide the following
services:
1. Fire protection for persons and property within the district boundaries;
2. Adequate training to the firefighters and officers to provide for their safety
and welfare; acquire or purchase equipment and property as required to
accomplish the district goals and objectives;
3. Clothing, safety equipment, and communications equipment required for
the protection of firefighting personnel so they can safely respond to
emergencies; and
4. Conduct fire prevention, fire safety education to the public;
5. Medical support assistance for the Bend Rural Fire Department if feasible.
Formation of the proposed district will provide for better fire services and
protection than now exists within the proposed boundaries. Responses to fires
will be with properly trained personnel and appropriate equipment. Residents
within the district have expressed support and an interest in establishing fire
protection. Property owners may realize some reduction in insurance costs
and/or the ability to obtain fire insurance. The district will have tax based
revenue and will apply for grant aid to augment tax dollars.
The proposed Alfalfa Fire District is a rural area on the eastern edge of Deschutes
County and the western edge of Crook County (see Exhibit B--map). Within the
boundaries of the proposed area is the Cascade View Estates subdivision which
has approximately 275 properties currently without adequate fire protection.
-1
Page 56 of 59 -EXHIBIT A TO ORDER 2013-022
Several properties do not have a water source other than cisterns or holding tanks
to supply their daily needs. Other properties have wells but not enough flow to
adequately fight fires, either structural or wild land. In addition to the Cascade
View Estates subdivision and also within the proposed Alfalfa Fire District are
approximately 100 farms and ranches scattered throughout the balance of the
area.
There are approximately 41,000 acres within the boundaries of the proposed
Alfalfa Fire District. Ownership consists of over 24,000 acres (about 60%) of
federal (BlM) land on the outer perimeter. Approximately 25,600 acres of the
district lie within Deschutes County and approximately 15,400 acres are within
Crook County to the east. There are over 500 tax lots within the proposed
boundary.
2. Analysis of the relationships between proposed services and functions
and other existing or needed government services:
The area of the proposed fire district lies more than 10 miles east of the existing
Bend Rural Fire Protection District #2 station on Hamby Road. Currently there are
no plans for that station to extend eastward or annex the proposed area primarily
due to response times. Bend Rural does provide ambulance and medical
response to the proposed district. Any future medical responses by trained
members of the Alfalfa Fire District would be only supportive in nature and would
only assist, not replace, the Bend Rural Units.
There is a significant amount of Bureau of land Management property on all sides
of the proposed fire district. These areas consist of a flammable sage/Juniper fuel
type; a xeric area that receives less than 10 inches of moisture per year. Lightning
is a common summertime visitor to the region and can ignite fires that are
capable of significant growth under the right conditions. Response to fires in the
forested setting are by federal government resources trained only in wild land
firefighting; these resources have no structural training and by agency policy are
-2
Page 57 of 59 -EXHIBIT A TO ORDER 2013-022
not allowed to engage structural fires. Currently, any sort of structural fire
response is by way of well intentioned local residents who put themselves at risk
because they do not have the proper equipment or training. The Deschutes
County Sheriff's Office will also respond but, as with the local citizens, these
officers are put at significant risk because of a lack of proper equipment and
training. In neighboring Crook County the nearest fire protection district is over
10 miles to the north (Crook County Rural Fire at Powell Butte.) Once established
the proposed Alfalfa Fire District will enter into mutual aid agreements with those
agencies and entities adjacent to the district. The proposed district will not
compete with any existing fire protection services, but will compliment those in
proximity to the area.
3. Proposed first year line item operating budget and a projected third year
line item operating budget/or the new district that demonstrate its
economic /easibility:
See -"Alfalfa Fire District--Proposed 3 Year Operating Budget"
4. Board 0/Directors
There will be 5 directors who will be elected at the same time the proposed fire
district is voted upon.
Directors shall either own property or reside in the district.
S. Ordinance Authority
The Board shall have ordinance enacting authority as authorized and prescribed
by Oregon Revised Statutes.
-3
Page 58 of 59 -EXHIBIT A TO ORDER 2013-022
ALFALFA FIRE DISTRICT •. PROPOSED 3 YEAR BUDGET
1---------:..:::.::.:...:.=..:...:..;., .''!.~!.i:2(1~4J .!!~~4.:~li. FY 2016-2017
TOlal Malenals and Supplies
CAPITAL OUTlAY
~enl,_
8u~dlng
Tolol o.plt~l Oullay
eo..h "fl""9 ' .. _
Transfer 10 o.p'laIFu.",!
fotal G.,.,...'" Fund Expenses
--,--.--~~-~--,-
Asses'Sed 1t.1luatHln In distrn:1
S 13,200.00 S 51,350.00 S 45,OSO.00 $ 44,950.00
··.h~:I:-,¥,:~~=t--~
S 20,000.00 S 29,700.00 S 52,500,00"-' -.--
:jP:'."¥ ..,~.,~""~oot .•....
S 13,700.00 S 121,092.00 S 124.125.00 S 157,249.00
~~~~~8"""1~1!!,unla&._:~=-=-~--3% 3% 3%
Next year asse.S<!d growl... esl..".les 560-:305,5%.00 $62.li4.763:OO s6i97ii,20S.00 $65,897,551.00
;;;;;;. Tax Rale/Sl000 SI.7S SU5 SI.7S SI.7S
Gross Tax Re_ue -----"---+'$-:-105=,5:-:3"'S'::.00':' .' "-SI08.701 5111.'.162.00 5115,321.00
M.;;;'sd~~~i1~::'~_ .. ~_.... -------7% .....7% ----]i ------7%
less discounts & dellnqU<!ft<lt!'I -57.387.00-"--S7;-609.00 -$1.811.00
Net Tax RC!YItnLte S 91,966.00 S 101,092.00 104,125.00
OESCHUTtS COUHlY ASSESSED VAlUES
CROOK COUNlY ASSESSEO VALUES
TOTAL fOR THE DlSTRIO
.F.Y,.2.~!:!,3_
FY 2012-!!.. __
FY 2012-13
Page 59 of 59 -EXHIBIT A TO ORDER 2013-022
NOTICE OF PUBLIC HEARING
BEFORE THE BOARD OF COUNTY COMMISSIONERS
OF DESCHUTES COUNTY, OREGON
A public hearing regarding the proposed formation of the Alfalfa Fire District will be
held on Wednesday, June 26, 2013 at 10 a.m. in the Board of County Commissioners'
Hearing Room, 1300 NW Wall Street, First Floor, Bend, Oregon.
To view the boundaries of the proposed district, contact the Deschutes County Counsel's
Office at 388-6623.
The proposed formation shall be referred to as the "Alfalfa Fire District". The purpose of
the proposed district, when fully functional, authorized by ORS Chapter 478, is to
organize for rural fire protection for property within the district, enter into mutual aid
agreements, apply for grants, train members, educate the public, purchase and maintain
necessary equipment, land, and structures as required for operating a fire district and
department, and provide emergency medical assistance.
The proposed Alfalfa Fire District, if formed, will have a permanent rate limit for
operating taxes of$1.75 per $1,000 assessed value that will raise an estimated
$101,092.00 in operating funds for the District in the 2014-2015 fiscal year.
All interested persons may appear and be heard. Upon conclusion of this initial hearing,
the Board will enter its order setting a final hearing.
The meeting location is wheelchair accessible. For the deaf or hard of hearing, an
interpreter or assistive listening system will be provided with 48 hours notice. Materials
in alternate formats may be made available with 48 hours notice. To arrange for these
services, please contact Bonnie Baker at 541-388-6572. For hearing impaired, call TDD
541-385-3203.
Page 1 of 1 -Exhibit B -ORDER NO. 2013-022 (05/29/13)