Fillable Annexation Application (City of Dallas)

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Annexation Application (City of Dallas)

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Official Use Only:
File No.:
Date:
Fee:
PAID
Annexation Application
Dallas Planning Department
Type IV
Properties located within the Dallas Urban Growth Boundary (UGB) that are contiguous with the city limits may
submit an application for ANNEXATION to the City of Dallas to be incorporate inside the city limits. Annexation
is often a prerequisite to obtain access to city services such as water and sewer service, and to provide for the
orderly transition and rezoning of land for urban development. A Pre-application Conference to discuss the
annexation review criteria and approval process is required before an application is submitted.
T
o request annexation of a property, please return a completed application form with attachments, and the
required fee to the Dallas Planning Department, Dallas City Hall, Second Floor, 187 SE Court Street, Dallas,
Oregon 97338.
Section 1 – Applicant Information
Name(s): ___________________________________________________________________________________________________
Mailing Address: ____________________________________________________________________________________________
Email: ______________________________________________________________________________________________________
Phone Number: ___________________________________________ Cell Number: ___________________________________
Section 2 – Property Owner Information (If not applicant)
Property Owner(s): _________________________________________________________________________________________
Mailing Address: ____________________________________________________________________________________________
Email: ______________________________________________________________________________________________________
Phone Number: __________________________________________ Cell Number: ____________________________________
Section 3 – Project Description
Please describe your project: _______________________________________________________________________________
____________________________________________________________________________________________________________
Site Address: _____________________________________________________ Total Land Area: _________________________
Assessor Map/Taxlot No. __________________________________________ Zoning: _________________________________
Present Use of Property:_____________________________________________________________________________________
Annexation Application 6-2015 Page | 1
Section 4 – Application Submittal Information
Please submit one electronic copy (PDF format preferred) and one paper copy of the information listed
below:
Completed application form;
Required fee;
Consent to annexation which is non-revocable for a period of one year from its date;
Agreement to deposit an amount sufficient to retire any outstanding indebtedness of special districts
defined in Oregon Revised Statutes (ORS) 222.510.
Boundary description and map prepared by a registered land surveyor that conforms to ORS
308.225. The boundaries shall be surveyed and monumented as required by statute subsequent to
Council approval of the proposed annexation.
Written findings addressing the criteria found in Dallas Development Code Section 4.10.030 (see
page 3 of this application).
Application by the property owner for a zone change and, if applicable, a Comprehensive Plan
amendment.
Section 5 – Signatures Required
I hereby certify the statements
contained herein, along with the evidence submitted, are in all respects true
and correct to the best of my knowledge:
PROPERTY OWNER(S):
___________________________________________________________________________ Date:__________________________
___________________________________________________________________________ Date:__________________________
APPLICANT(S)
_________________________________________________________________________ Date:___________________________
__________________________________________________________________________ Date:___________________________
Section 6 – Review and Approval
Official Use Only
Approved Denied Reason for Denial: _____________________________________________________________________
Address Modification Required: Yes No
If yes, Add Remove _______________________________________________________________________________
Staff Signature: ___________________________________________________________________ Date:______________________
(Address)
Annexation Application 6-2015 Page | 2
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4.10.015 Procedure
All annexations shall be processed in the same manner as a Type IV procedure, with the
exception that the requirements of state law regarding annexations shall be met.
4.10.050 Statutory Procedure
The applicant for the annexation shall also declare which procedure, under ORS Chapter 222,
the applicant proposes that the City Council use, and supply evidence that the approval
through this procedure is likely.
4.10.030 Approval Criteria
An annexation may be approved if the proposed request for annexation conforms, or can be
made to conform through the imposition of conditions, with the following approval criteria:
A. The land is within the City's Urban Growth Boundary.
B. The proposed zoning for the annexed area is consistent with the Comprehensive Plan,
and a project, if proposed concurrently with the annexation, is an allowed use within
the proposed zoning.
C. The land is currently contiguous with the present City Limits.
D. Adequate City facilities can and will be provided to and through the subject property,
including water, sanitary sewer, and storm drainage.
E. The annexation is consistent with the annexation policies contained in the
Comprehensive Plan.
F. Within Mixed Use Nodes, annexation shall only be permitted in conjunction with a
Master Plan application submitted pursuant to Chapter 4.5.
4.10.035 Boundaries
When an annexation is initiated by a private individual, the Planning Official may include other
parcels of property in the proposed annexation to make a boundary extension more logical
and to avoid parcels of land which are not incorporated but are partially or wholly surrounded
by the City of Dallas. The Planning Official, in a report to the Planning Commission and Council,
shall justify the inclusion of any parcels other than the parcel for which the petition is filed. The
purpose of this section is to permit the Planning Commission and Council to make annexations
extending the City's boundaries more logical and orderly.
Annexation Application – Type IV
Dallas Development Code
Chapter 4.10
Annexation Application 6-2015 Page | 3
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Annexation Application (City of Dallas)

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Completed 22 January 2021

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