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Petition number: Filed in the office of the City Recorder By Date Fee Check # Annexation Petition Ogden City Development Services 2549 Washington Blvd. Suite 240 Ogden, Utah 84401 (801) 629-8930 Please print legibly and complete all areas: Sponsor/Petitioner Information Name: Address: City: State: Zip: Email: Phone: Property Information Address or location: Number of acres: Current use: Intended use: Required items to submit with this application: □ Receipt from Weber County showing payment for county plat review □ An accurate and recordable map/plat prepared by a licensed surveyor □ Legal description of the property to be annexed □ $2,500 Fee To the Council of Ogden City The undersigned real property owners respectfully petition that the following described lands and territory in Weber County, Utah, be immediately annexed to Ogden City, to wit: (Please attach the legal description of the property to be annexed.) In support of this petition, the petitioners respectfully declare and represent that they are a majority of the owners of the private real property located within the above-described territory and are the owners of not less than one-third (1/3) in value of all said territory as shown by the last assessment rolls of Weber County, State of Utah, and that the said territory lies contiguous to the corporate limits of Ogden City, a municipal corporation of Utah. The petitioners further file herewith the original mylar and three counterparts of an accurate map or plat of the territory sought to be annexed which the petitioners have caused to be made by and under the supervision of , a competent surveyor and engineer licensed under the State of Utah, License Number: . ---PAGE BREAK--- Sponsor’s Name (print) Signature Address Phone Other Petitioners Signature Address Phone