CITY OF HENDERSONVILLE
DEVELOPMENT ASSISTANCE DEPARTMENT
100 N. King St. ~ Hendersonville, NC ~ 28792 Phone
(828) 697-3010 ~
Fax (828) 697-6185
www.hendersonvillenc.gov
PETITION REQUESTING ANNEXATION
Does this property adjoin the present City Limits?
YES
NO
Is the property within the ETJ?
YES NO
Signature
Printed Name
BY
Official Use:
DATE RECEIVED:
Annexation
Application
Rev. 2.2020
Page 1 of 1
Address
Property
Owner:
Name
Email
Fax
Phone
Address
Applicant
Name
Reason
for
annexation
List
10
digit
PIN
or
7
digit
PID
number
Location
/
Property
Address
Date
The
following
are
required
to
constitute
a
complete
application
for
voluntary
annexation:
~This
form
including
the
property
owner's
signature
~A
copy
of
the
deed
indicating
ownership
of
the
property.
~A
survey
plat
(8 1/2
"
by
11")
of
the
property
prepared
by
a
registered
surveyor
licensed
to
practice
in
the
state
of
North
Carolina.
~
A
typed
boundary
description
of
the
property,
in
digital
format
if
possible.
Print
Form
click to sign
signature
click to edit