JANET ROSE SIGNED PETITION (5) 06-22-2022.PDF

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RECEIVED
JUN 22 2022

MARICOFS. 22 UNTY

CLERK BOARD OF SUPERVISORS

iN
co

51
52

53

Special Taxing District Creation Petition

PAID CIRCULATOR” = « a VOLUNTEER”

lustrated and defined on the attached exhibit(s), legal description

54

Signature Name (first and last name printed) Actual Aaldress (street & no. and if no steal | Arizona post Office Address | City or Town (Fany) Parcel No. Date

‘ Om fdcew) Miller GU? WY st BOK Phase (8-19-9728 by Loypy
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#5

SI or & OS

8.

9.
10

. Atall times, the following items are required to be contained with the petition:

Instructions for Circulators

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

| CH Aarbes TEwcee , am responsible for the collection and/or the submission of the petition.

(Circulator’s printed name)

Signature of Circulator

CHNRLESs Feu ce

Typed or Printed Name of Circulator

IY[4 £ BERRIP EE Zp)

Ciréulafor's Actual Residence Address

Ox #2 Ssol¢

City or Town and Zip Code

Special Taxing District Creation Petition