AnnexationApp_202203
Page 1 of 1 Planning Commission AnnexationApp_202203.docx
Application/Petition to Annex City of Prattville, Planning & Development Department 102 W Main Street Prattville, AL 36067 (334) 595-0500 / planning@prattvilleal.gov
Name of Applicant(s): _________________________________________ Phone: _________________________________
Address: ____________________________________________________ Email: __________________________________
Name of Owner(s): ____________________________________________________________________________________
____________________________________________________________________________________________________
Attach additional sheets if necessary
Describe the location of property:
All items must be marked as included with petition/application:
_____ Copy of deed for entire property or properties
_____ Copy of tax card or record indicating person whose name the property is assessed for ad valorem tax purposes
_____ Printed legal description and electronic copy in editable format (e.g. MS Word file or text file)
_____ Designation of Agent Form (if applicable)
_____ Map showing location of property in relation to city limits
_____ Rezoning Application
TO THE CITY OF PRATTVILLE, ALABAMA:
I/We, the undersigned, constituting all of the owners of all of the herein described real property do hereby execute and file
with the City Clerk this written petition asking and requesting that our property as described be annexed into the City of
Prattville, under the authority of Sections 11-42-20 through 11-42-24, Code of Alabama, 1975.
Signature: ______________________________________________________________ Date: ______ / ______ / _________
Signature: ______________________________________________________________ Date: ______ / ______ / _________
Signature: ______________________________________________________________ Date: ______ / ______ / _________
Signature: ______________________________________________________________ Date: ______ / ______ / _________
STATE OF ALABAMA
COUNTY OF _____________________________
I, _________________________________________________, a Notary Public in and for said State at Large, hereby certify that
_________________________________________________________________, whose name(s) is/are signed to the foregoing document, and
______ Who is known to me, or
______ Whose identity I proved on the basis of ___________________________________________________________
and that being informed of the contents of the document, he/she, as such officer and with full authority, executed the same voluntarily on the day the
same bears date.
Given under my hand and official seal this the _________ day of _______________________________, 20______.
_____________________________________________, Notary Public My Commission Expires: __________________________