JANET ROSE SIGNED PETITION (4) 06-22-2022.PDF

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ACGRAT BSOM 2OUEF

Special Taxing District Creation Petition

any person to knowingly do any of the following: 1. Sign a distri
request of that person, who is incapable of signing that person's

owner.

own name because of physical infirmity. 2. Sign the person’s name m

“ PAID CIRCULATOR” =“ x VOLUNTEER”

ict creation petition with a name other than the person's own name, except in a circumstance where the person signs for another person, in the presence of and at the specific
‘ore than once for the same measure. 3. Sign a district creation petition if the person is not a property

Signature

Name (first and last name printed)

Actual Address (street & no. and if no street
address, describe residence location)

Arizona Post Office Address
& Zip Code

City or Town (if any)

Parcel No.

Date .

Kobe. t efter

(F27E RoseLave

SESOIF

P hoe Wx

1G[~l0 eg

26

!
LZ.

LABS Mf BSCS

E5BSVE

Nee Lx

LiL

62/0Y/2:
C2

27

2

675 V7 fff

SSO KX

(Pree; IX,

(4 [0-096

2g *

|

Ke OF [pee wa Noel be N (3h fltce | 5p) ¢ Ppcent x 6 /-W-o1F 63 ope}
29 Mtn Lhe Junie Tuohinis| bfx 13 pl. | $5014 Cheers | Ie-|6)-[[-023 03 bylee
30 LEE rer, | AG Wrs Keer |G hy LEAS ESP FS Zt. Mi-0- 077 OY Of 4
31|" 5 a Berta Kebveyn fey QI NR P/ SSO/K (Moen, Glos Ive
32 * paling earn h wl Solin | Oxley ‘Zen [6st ESO (b chee ce _| 51 hdd ez
33° 2 [edn | SALLY areal el QaveKescevte IY dae | &/- 1o3xebYy 5/55
a Ae Sree DAB va [OTE NIE PAE xshi4 PQ x Ib (1 -cug 22 Jez
51 NWA | Darin Colvin [lO SD IMRT | ESoH Phx _ | lel-t-oes | NV/ay
362 4) nie sefhrey Ficker — |ui24 N14 SE bse 4 Prot [fel 10-075 [ou [4/92
37 Bann Te poe WIS Kann pis crows |rs25 7. a PC 39008 Plrocuix [ello ~ 072 |ot/zo/200e
38 Ae ee Rake? E. Levan @/LL N. 124th Place F Soy Ph beri Ub l- i631 (8/5/2020.
3 AA Aerags Pus | [409 Eee pw 250! 4 PHOEN ly | JE I~ Jo-07/|% pe lez

#4

9

NO Ore oN

8.

Instructions for Circulators

At all times, the following items are required to be contained with the petition:
a. A copy of the approved impact statement;
b.. Amap and general description of the boundaries of the proposed district sufficiently detailed to permit a property owner to determine
whether a particular property is within the proposed district;
c. The names, addresses and occupations of the proposed members of the district's organizing board of directors which should be found in
the impact statement;
No alteration of the proposed district shall be made after receiving the approval of the board of supervisors as provided in ARS § 48-261 (A)(4).
Each section on the petition MUST be filled out.
MUST sign with the full legal name. No abbreviation, nickname or alias will be considered a valid signature.
If the property owner is a Trust, the trustee MUST sign their full legal name and add trustee as a part of the signature.
MUST use the following format when dating the signature - MM/DD/YY
To sign you MUST be the owner of record: not a renter, brother, sister, etc. unless you have power of attorney or at the request of the owner due to
physical infirmity.
For irrigation water delivery districts (IWDDs), pursuant to A.R.S. § 48-3422(B), the petition MUST be signed by a majority of the owners of acreage
within the proposed district.
MUST be signed by persons owning collectively more than one-half of the assessed valuation of the property in the area of the proposed district

10 MUST be reproduced on legal-sized paper front and back.

| CHARES MeN , am responsible for the collection and/or the submission of the petition.

(Circulator's printed name)

Signature of Circulator

CHAR KE IEWCE.

Typed or Printed Name of Circulator

(YLY E CE RIIXDGK An.

Circulator’s Actual Residence Address

ZE PZ ESAS

City or Town and Zip Code

Special Taxing District Creation Petition