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Application for Voluntary Annexation **Office Use Only** Date Application Received: Date Application Certified as Complete: Annexation Fee Advertisement for Zone Changes $250.00 Review for Zone Changes $250.00 Advertisement for Public Hearing $250.00 Applicant Name: Applicant email: Applicant Phone Number: Property Owner Information **Property Owner Name: First: Last: Phone Number: Email: Mailing Address: ---PAGE BREAK--- Property Information Legal Land Description(s): Tax Parcel(s) Number(s)(RP): Subdivision Name(s) (if applicable): Street Address (if applicable): Total Property Acreage Proposed for Annexation: Current Zoning Designation: Zoning Designation of Surrounding Properties: N: S: E: W: Does any of the Property fall into a Floodplain? Existing Land Use(s): Comprehensive Plan/Zoning Present Comprehensive Plan Designation: Proposed Comprehensive Plan Designation: Proposed Zoning: Annexation Request Annexation is requested in order to/because ( describe reason or purpose for annexation) Other Agreements Has a Development Agreement been agreed upon with the city? Please identify the date of the agreement and attach to this application: ---PAGE BREAK--- Property Owner Certification and Consent to Voluntary Annexation The property owner(s) hereby certifies that the information contained in this application is true and correct to the best of my/our knowledge and agrees to enter into an “Irrevocable Consent to Annexation Agreement” for the annexation of the subject property to the City of Burley, whereby such annexation shall be binding upon subsequent purchasers, heirs, or assigns of the land addressed in this consent. Property Owner(s): Printed Name Signature Date Printed Name Signature Date Printed Name Signature Date Printed Name Signature Date Printed Name Signature Date Printed Name Signature Date Printed Name Signature Date Printed Name Signature Date **Repeat this page as many times as needed** ---PAGE BREAK--- Applicant Use Annexation Checklist N o Applicant Description City Y N N/ A Y N N/ A 1 Proof of Ownership, Proof of Option, or Earnest Money Agreement 2 Evidence of Consent to Annexation 3 Written Affidavit requesting annexation 4 Letter requesting annexation to include the following: Current Zoning and proposed zoning of area Current land use and proposed land use How the proposed annexation relates to the comprehensive plan Compatibility with the surrounding area 5 Current Land Use and/or Zoning 6 List of neighboring property owners to include names and addresses from the county assessors records within three hundred feet (300') of the property to be annexed 7 Annexation Map showing the following Property Lines Existing Infrastructure, i.e.; streets, utilities, structures Existing zoning of subject property Zoning designations of adjacent properties 8 Legal Metes and Bounds description of property outlining in a survey the exact boundaries of the parcel of land 9 Preliminary Plat Checklist Completed 10 Development Fee Paid 11 Proposed Development Agreement ---PAGE BREAK--- Annexation Checklist (City Use Only) Description City Y N N/A 1 Received completed application 2 Fees have been paid 3 Certify the date on which the application was received 4 review proposed annexation and zoning development agreement (if applicable) 5 Staff review of application and proposed development agreement for code compliance and to see if all services can be adequately provided. Create staff report and provide to applicant 6 Set for hearing date at least 30 days out 7 Create public hearing notice for zoning amendment and annexation 8 Have city attorney review public hearing notice 9 Post property with hearing notice (and get affidavit of posting) 10 Publish hearing notice in paper (and get affidavit of posting) 11 Mail hearing notice to all within 300 feet of property to be annexed at least 15 days prior to hearing, and sign affidavit of mailing (verify the list is still accurate with county assessor) 12 make available a hearing notice to other papers, radio, and television stations serving the jurisdiction for use as a public service announcement 13 Send notice of hearing to all political subdivisions providing services within the planning jurisdiction, including school districts and the manager or person in charge of the local public airport, at least fifteen (15) days prior to the public hearing scheduled by the commission, and sign affidavit of mailing. 14 Provide applicant with hearing procedures and notice of hearing and request that they give presentation at hearing 15 Prepare a packet of all materials identified as exhibits and submit it to all P&Z commissioners and the applicant and to Melissa 16 Hold hearing (follow written hearing procedure). 17 Create proposed resolution of recommendation with written findings of fact and conclusions of law. Have the Commission approve the resolution 18 Send resolution to Mayor and City Council 19 Prepare proposed ordinance to amend zoning and to annex 20 Put items (annexation, zoning and approval of development agreement) on the agenda for City Council consideration and approval 21 Upon approval or ordinance submit to state tax commission, county, ect.