Petition to Annex and Notice of Withdrawl from Rural Fire DeptReturn to:
Theresa white
Kalispell City Clerk
P.U. Box 1997
Kalispell, MT 59903
PETITION TO ANNEX
AND
NOTICE OF WITHDRAWAL FROM RURAL FIRE DISTRICT
The undersigned hereinafter referred tb as Petitioner(s) respectfully petition the City Council of
the City of Kalispell for annexation of the real property described below into the City of
Kalispell. -
The Petitioner(s) requesting City of Kalispell annexation of the property described - herein and
further described in Exhibit A hereby mutually agree with the City of Kalispell that immediately
upon annexation of the land all City of Kalispell municipal services will be provided to the
property described herein on substantially the same basis and in the same manner as such services
are provided or made available to other properties within the rest of the municipality.
Petitioner(s) hereby state that there is no need to prepare a Municipal Annexation Service Plan for
this annexation pursuant to Section 7-2-4610, M.C.A. since the parties are in agreement as to the
provision of municipal services to the property requested to be annexed.
The Petitioner(s) further herein express an intent to have the property as herein described
withdrawn from the west Valley Rural Fire District under the provisions of Section 7-33--2127,
Montana Code Annotated; and that incorporated into this Petition to Annex is the Notice
requirement pursuant to said Section; and that upon, proper adoption of an ordinance or resolution
of annexation by the City Council of the City of Kalispell, the property shall be detracted from
said district.
In the event the property is not immediately annexed, the Petitioner(s) further agree(s) that this
covenant shall run to, with, and be binding upon the title of the said real property, and shall be
binding upon our heirs, assigns, successors in interest, purchasers, and any and all subsequent
holders or owners of the above described property,.
This City hereby agrees to allow Petitioner(s) to connect and receive the utilities from the City of
Kalispell.
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This City hereby agrees to allow Petitioner(s) to connect and receive all available utilities from
the City of Kalispell excluding solid waste services. MCA 7-2-4736 prohibits the city from
providing solid waste services to this property for a minimum of 5 years from date of annexation.
Petitioner/Owner Date
Petitioner/owner Date
NOTE: You must attach an Exhibit A that provides a bona fide legal description of
the property to be annexed.
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STATE OF }
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County of County
On this _ da of �� /��� before me the undersigned, a Notary Public for
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the State of A. ' A �aa,spersonally appeared known
to me to be the person whose name is subscribed to the foregoing instrument and acknowledged
to me that he/sue executed the same.
IN WITNESS WHEREOF, I have hereunto set my
year in this certificate first above written.
STATE OF MONTANA }
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County of Flathead County
d and affixed my Notary Seal the day a���a„e""""''��iy�
Notary Put .rc, State of JdopAe�
Printed Name - 4.,,O z
Residing at �d
My Commission expires:
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'PIP
AN
On this day of ,before me, the undersigned, a Notary Public for
the State of Montana, personally appeared known
to me to be the person whose name is subscribed to the foregoing instrument and acknowledged
to me that he/she executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my Notary Seal the day and
year in this certificate first above written.
Notary Public, State of Montana
Printed Name
Residing at
My Commission expires:
STATE OF M ONTANA }
ss
County of Flathead
On this day of , before me, the undersigned, a Notary Public for
The State of Montana, personally appeared and
, the ,and
respectively, of the
corporation that executed the foregoing instrument, and the persons who executed said instrument
on behalf of said corporation, and acknowledged to me that such corporation executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my Notary Seal the day and
year in this certificate first above written.
Notary Public, State of Montana
Printed Name
Residing at
My Commission expires
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