4318 Remove Sidewalk Plat of Schilling Subdivision ti
DO NOT WRITE IN THIS SPACE
PETITION NUMBER
City Clerk's Office
Filed
•T0: THE GOVERNING BODY I '09 JUL 2
City of Salina, Kansas l - - _
We, the undersigned, being residents and property owners in the .
City of Salina, Kansas, to hereby petition your honorable body for: :...........................................
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Respectfully submitted by:
Telephone Number:ACT05-820—WTS
NAME ADDRESS
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State,of Kansas, County of Saline: ss
I am the circulator of this Petition. I have personally witnessed the signing of the petition by
each person whose name appears thereon. I am a resident and a registered elector of the State of
Kansas and of the City of Salina, Kansas, the political and taxing subdivision in which the
election is sought to be held.
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Circulator Si nature Printed Name Address Date
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Be it remembered,that on this 2 day of 20o',I came R,c6cw a f
who duly acknowledged execution of the above statement.
[SEAL] Notary Public-State of Kansas
Tamara Ethridge
Notary Public
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