Y:\City Hall\Community Development\FORMS\PERMIT APPS & HANDOUTS\Annexation\Annexation Application.doc
Revised 11.26.19
Community Development/Planning Dept.
401 N. Madison St., Spring Hill, KS 66083
(913) 592-3657 ● (913) 592-5040 FAX
planning@springhillks.gov ● www.springhillks.gov
PETITION AND CONSENT FOR ANNEXATION
(ADJOINING PROPERTY BY REQUEST)
TO: T
he Governing Body of the City of Spring Hill, Kansas
The undersigned are the owners of record of the following described land, and hereby petition the governing
body of the City of Spring Hill, Kansas, to annex such land to the City pursuant to K.S.A. 12-520(a)(7). The land
to be annexed is described in Exhibit “A” attached hereto and incorporated by reference.
Such land does lie upon or touch the City boundary line.
The undersigned further warrant and guarantee that they are the owners of record of the land.
NOTE: If the annexation is accepted, the applicant will be responsible for the payment of the publication and
filing fees that are required.
Printed Name: Printed Name:
Signature: Signature:
STATE OF , COUNTY OF , SS:
SUBSCRIBED AND SWORN TO before me this day of , .
(SEAL)
Notary Public
My Appointment Expires:
STATE OF , COUNTY OF , SS:
SUBSCRIBED AND SWORN TO before me this day of , .
(SEAL)
Notary Public
My Appointment Expires:
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