Petition Letter Form

Salishan Spit Annexation Petition Form
Annexation of Salishan Spit properties into Salishan Sanitary District*
Properties served by septic tanks and fields or undeveloped
To: Salishan Sanitary District board of directors
As a property owner in Salishan Leaseholders which is currently served by septic or undeveloped, I (we) support the annexation of our property into Salishan Sanitary District for purposes of constructing sewer lines to replace our current septic tanks and fields.
Petition Signer Information

Provide information about the petition signatories.
Signatory's Full Name*

First NameLast Name
Signatory's Street Address in Salishan Leaseholders*

Street Address

Street Address Line 2

City

Postal / Zip Code
Signatory's Email
example@example.com
Signatory's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date*

MonthDayYear
Date
Signature*
Should be Empty:

Salishan Spit Annexation Petition Form