File Number
City
S
tate
Z
ip
Em
ail Address
T
a
x
L
ot
#(
s
)
Annexation Application and Petition
City
S
tate
Z
ip
Em
ail Address
SECTION I
Ownership and Applicant Information
Name(s)
Mailing Address
Phone
#
Applicant/Owner Representative
Name(s)
Mailing Address
Phone#
Applicant's interest in property
Yes
No
SECTION II
Site Location and Description
T
a
x
Map
#(
s
)
Frontage
S
treet or
Address
Nearest Cross
S
treet
Land Area
(
square feet or acres
)
Current Forest Grove Co
m
prehensive Plan Designation
Current
Z
oning
General Site Information
Is the site located within the Urban Growth Boundary?
Yes
No
If no, has an application for a UGB boundary amendment been filed with Metro?
Is this site located within the Metro Boundary?
Yes
No
If no has an application for annexation to the Metro boundary been filed with Metro?
Yes No
Proposed Zoning
CITY OF FOREST GROVE P. O. BOX 326
FO
RES
T
GROVE, OR
97116
503-992-3200
www.forestgrove-or.gov
Property Owner(s)
Is the site located within the Clean Water Services Boundary (CWS)?
Yes
No
If no, has an application for annexation to the CWS boundary been filed with CWS?
Yes
No
Storm Sewer
Please indicate the approximate size and distance to the nearest public water and/or sanitary sewer line:
Existing Land Use: Number of single-family units
Number of Multi-family units
Number of commercial structures
Square Feet
Number of industrial structures
Square Feet
SECTION III
1.
State whether or not the property to be annexed is adjacent to the City of Forest Grove city limits.
2.
Describe how the annexation:
a.
Promotes the timely, orderly and economic provision of public facilities and services;
b.
Would affect the quality and quantity of urban service; and
c.
Whether the annexation would eliminate or avoid unnecessary duplication of facilities or services.
Criteria and Decision Factors for Concurrent Zoning Map Amendment
Describe how:
1.
The zone change requested is consistent with the Forest Grove Comprehensive Plan Map.
2.
The zone change is consistent with the relevant goals and policies of the Comprehensive Plan as identified by
the Forest Grove Community Development Director.
3.
The site is suitable for the proposed zone and there is a lack of appropriate designated alternative sites within
the vicinity.
4.
The zone change is consis
tent with the adopted Transpo
rtation System Plan. Development
allowed by the
zone change will not substantially impact the functional classification
or operat
ion
of transportation facilities,
or reduce the level of service of transportation facilities below the
minimum acceptable level identified in the
Transportation System Plan.
Page 2 of 4
Total existing population residing within area subject to annexation
Please describe in general terms the reason for requesting annexation to the City of Forest Grove including general plans
for future development (timing and type of development):
Please indicate which of the following services are currently provided to the property
Water
Sanitary Sewer
Septic
The annexation application must include a written response to both the annexation and zoning map amendment approval
criteria and decision factors identified below. Please use a separate sheet of paper for your responses and attach it to the
annexation application packet.
Annexation Application Approval Criteria and Decision Factors
5.
Public facilities and services for water supply, sanitary waste disposal, storm water disposal, and police and fire
protection are capable of supporting the uses allowed by the zone. Adequacy of services is based on the projected
service demands of the site and the ability of the public services to accommodate those demands.
6.
The establishment of a zone district is not subject to the meeting of conditions.
SECTION IV
Submittal Requirements
1.
Completed Land Use Application;
2.
Completed annexation application and petition including all information required for Section I through Section Ill
above and Section V below;
3.
Map and narrative legal description for the subject territory for approval by the Oregon Department of Revenue;
4.
A list of the names and mailing addresses of all property owners and electors in the subject territory as shown by the
Washington County tax assessor and Washington County clerk;
5.
Petition signed by the required number of property owners and electors consenting to the annexation;
6.
Written response to the annexation and zoning m ap amendment approval criteria and decision factors; and
7.
Payment of the required application filing deposits and fees.
Page 3 of 4
To:
The City Council of the City of Forest Grove, Oregon
We, the undersigned property owners of and/or registered voters in the area described below, hereby
petition for, and give our consent to, annexation of the area to the City of Forest Grove.
Signature
Printed Name
Address
Date
Tax Map and Lot
Number
I am a
PO/RV/OV*
Page 4 of 4
SECTION V
*PO = Property Owner
RV = Registered Voter
OV = Property Owner and Registered Voter
Petition for Annexation to the City of Forest Grove