HomeMy WebLinkAboutMiscellaneous Miscellaneous 8/19/2009
/
ANNEXATION QUESTIONNAIRE
The information on this form will be used to certify annexed population.
For September 30, 2009 certification,
please return the completed questionnaire no later than Sentember 25. 2009 to:
Population Research Center
POBox 751" PRC
Portland State University
Portland, OR 97207-0751
City of SonY\. ~ f 1-< lul coun~ of ~ '. (If city is located in more
than one !ountf,Jilame only the county where the annexation occurred)
ATJrlexation Ordinance Number and Final Order Number ~wa~ -(Jo~1
Effective Date of Annexation iI-xi ffl1
Please fill in all blanks on this form and attach completed confidential census forms for all housing
units both vacant and occupied. Use one sheet for each inhabitable housing unit. Make blank
copies if necessary.
NOTE: Certifying annexations of 125 or more housing units requires an enumeration to be
conducted under the supervision of the Population Research Center and a census.must be
scheduled.'
INVENTORY OF HOUSING UNITS AND POPULATION AT TIME OF ANNEXATION
"
~'"-:-::..-:::;,~~
TOTAL OCCUPIED VACANT
PERSONS
UNITS IN SINGLE FAMILY
STRUCTURES
A-'"
_ v
UNITS IN MULTIPLE FAMILY
STRUCTURES
MOBILE HOMES OR TRAILERS
~
.
if '.
p~vkf MALU_W iA (jJj ~(f1-uJ>>
DATE OF E~TION ijl/fr. I q 20cYi . . (J
POSITION _A(laiftiut-/PHONE # ~(, 12)/, ?J{;fD
f)r~ Je-ruS. ~(j11j;./ ~
TOTAL POPULATION .A-
OF ANNEXED AREA ~ iJ
ENUMEdTED B~i1IA (4
t
CITY CONTACT PERSON TITLE
PHONE # A-f{'lz&, '1 ((J[O
The information from this completed questionnaire and census forms are the only data used
to certify annexed population. Please DO NOT send maps, copies of the final ordinance, lists
of addresses, etc. to our ()ffic~ unless you are requested to do so. Date R~celved
If there are any questions, or to schedule a census, contact Risa ProeW at the Population ~fff~ 2009
Center (503) 725-5103 or proeWr@pdx.edu. THANK YOU.
Planner: BJ