CITY OF FAYETTEVILLE, ARKANSAS
ANNEXATION
Please fill out the Energov fields completely, supplying all necessary information and documentation to support your
request.
Your application will not be placed on the Planning Commission agenda until this information is furnished.
Annexation Checklist:
(1)
Payment in full of applicable fees for processing the application:
$325.00 application fee
(2)
A legal description of the property to be annexed. A survey may be required if the property description can not
accurately be platted or if it is described by referring to other deeds.
(3)
A copy of the legal description in MS Word and all required submittal items should be also included in PDF
format.
(4)
A copy of the deed or survey of the property to be annexed. A survey may be required if the property
description can't accurately be platted or if it is described by referring to other deeds.
(5)
A copy of the county parcel map from the Washington County Assessor’s office or from the Washington
County website (www.co.washington.ar.us). The subject property and all parcels within 200 feet should be
identified on this parcel map. The owner’s name, official mailing address, and the parcel number for every
property and residents with separate addresses shall be shown on this map.
(6)
Copy of an "Order of Annexation", signed by the county judge and file marked (by the circuit clerk) from
Washington County. Prior to entering the County de-annexation process, the applicant must first submit the
legal description to Fayetteville City Planning to check for correctness. Once approved, the legal description of
the property proposed to be annexed must remain the same through out the process, or the annexation risks
being voided.
(7)
Copy of “Petition for Annexation” presented to Washington County Court stating legal description of property
and property owners.
(8)
Each plat shall have two (2) points described in State Planes Coordinates, Arkansas, North, North American
Datum, 1983 (NAD 83).
(9)
A written statement addressing the consistency of the proposed annexation with the City's Annexation Guiding
Policies. Several of these policies are listed below and should be addressed in writing, where applicable, with
the application submittal.
a.
Annex existing islands and peninsulas and do not annex areas that would create an island or
peninsula.
b.
Proposed annexation area must be adjacent, or contiguous, to city limits.
c.
Areas should either include or exclude entire subdivisions or neighborhoods, not divide.
d.
Boundaries for annexed areas should follow natural corridors.
e.
Annex environmentally sensitive areas that could be impacted by development and utilize
appropriate development regulations to protect those areas.
f.
Public services (including emergency response) must be able to be provided efficiently in newly
annexed areas.
g.
Areas currently served by utilities and other public services should be annexed.
h.
Proposed annexation areas should not require the upgrading of utilities to meet the demands of
development unless there is a threat to public safety.
(10)
The applicant is responsible for meeting the public notification requirements for an Annexation listed on the
Notification Requirements pages in this application.
Consent of Owner Form
PROPERTY OWNER(S) / AUTHORIZED AGENT: By signing below, I/we certify under penalty of perjury
that I am/we are the owner(s) of the property that is the subject of this application and that I/we have
authorized this application and consent to its filing.
PLEASE NOTE:
Property Owners: Attach additional info/documentation if necessary.
Authorized Agents: If signing on behalf of a Property Owner, a letter from each Property Owner must be
provided indicating that the agent is authorized to act on their behalf.
____________________________________________________________________________________
Associated Project (required field)
Property Owner 1:
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 2: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 3: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 4: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
NOTE: When property is annexed into the City limits, it is automatically assigned a zoning district of R-A,
Residential Agricultural. If a different zoning district is desired, rezoning must be requested. Applications for
rezoning request are available through the Energov website. All applicants should meet with a staff Planner
prior to submitting an annexation application.
NOTIFICATION REQUIREMENTS
Written Notification Process:
1. The applicant shall mail a written notice of the action by first-class mail to the address of all
landowners and residents with separate addresses within 200 feet of the boundary line of the property
on which the use is proposed
2. CUP applications for special uses must notify all property owners in writing within 500 feet of the
perimeter of the property. CUP special uses include: Dance halls; Facilities emitting odors and
facilities handling explosives; wireless communication facilities; carnival, circus, amusement park or
similar temporary open-air enterprise; manufactured and mobile homes; outdoor music
establishments; sexually oriented business.
3. The applicant shall provide the following to the Planning Division (contact staff planner or Development
Services coordinator for submittal deadline):
a. alphabetical list of the landowners and residents with separate addresses receiving notification
(City’s Address Point File)
b. map showing the landowners’ relationship to the site (City’s Address Point File)
c. copy of the notice sent to the landowners and residents (example attached)
d. certificate of mailing (example attached)
e. Click here to learn how to create the list of those being notified.
Sign Posting Process:
(1) Signs shall be made available to the applicant by the Planning Division. A $5 fee per sign shall be
remitted by the applicant (contact staff planner or Dev. Srvcs. coordinator for date to pick up sign).
a. The applicant shall post notice on the land for which the use is requested in a visible,
prominent location no more than ten (10) feet from the street, and shall not impede the vision
of drivers or pedestrians.
b. The staff planner may require an alternate location where the property is not adjacent to a
street.
c. Additional signs may be required by the staff planner.
(2) The applicant shall post the sign and submit a certificate of sign posting to the Planning Division.
The sign(s) shall be photographed by the applicant and attached to the certificate (example
attached).
(3) The Planning Division will be responsible for retrieval of signs after the hearing; if a hearing is
postponed, the applicant will be notified when a new sign has been created. The applicant shall
then be responsible for posting the new date of the hearing in accordance with the criteria herein.
THIS IS AN EXAMPLE ONLY DO NOT USE THIS SHEET
CERTIFICATE OF MAILING
I hereby certify that a true and correct copy of the attached written notice was placed in
the U.S. mail, first-class, postage prepaid this ____ day of ________, 20___, and
addressed as follows:
Name: __________________
Street Address: __________________
City, State, Zip: ___________________
Name: __________________
Street Address: __________________
City, State, Zip: ___________________
Name: __________________
Street Address: __________________
City, State, Zip: ___________________
Name: __________________
Street Address: __________________
City, State, Zip: ___________________
__________________________________
(name of person completing the mailing)
__________________________________
(signature of person completing the mailing)
City File No./Name: ______________________________
THIS IS AN EXAMPLE ONLY DO NOT USE THIS SHEET
WRITTEN NOTIFICATION FORM
Project Description:
The applicant Name proposes a Type of Development at Project Address.
Building/land Use: _______________________
Zoning: _______________________
Size of Property: _______________________
Density/Intensity: _______________________
Public Hearings:
Planning Commission; 5:30 PM; Month/Date/Year; 113 West Mountain Street (City
Administration Building Room 219) Fayetteville, AR 72701
Property Owner:
Name: _______________________ Phone #: _____________________
Developer:
Name: _______________________ Phone #: _____________________
Review Location:
The project information is available for public review at the City of Fayetteville Planning
Division, 125 West Mountain Street, Fayetteville, AR 72701 Monday-Friday 8AM-5PM;
479.575.8267.
THIS IS AN EXAMPLE ONLY DO NOT USE THIS SHEET
CERTIFICATE OF SIGN POSTING
I, __________________________________(print the name of the
applicant/representative/person posting sign), attest that the above sign was posted on
________________(month/day/year) adjacent to
_______________________________ (name of street).
________________________________________________
(signature of person completing the sign posting)
City File No./Name: ______________________________
(attach photo here)
(sign lettering must be legible in photo)