HomeMy WebLinkAbout0009_7_CFD 2015-1 - Exhibit F Petition FormPETITION TO
THE CITY COUNCIL OF
THE CITY OF LAKE
ELSINORE
REQUESTING
TO ANNEX TERRITORY
INTO COMMUNITY
FACILITIES
DISTRICT NO. 2015-1 WITHIN THE
CITY OF LAKE ELSINORE
AND
A WAIVER
WITH RESPECTS TO CERTAIN PROCEDURAL
MATTERS
UNDER THE
MELLO-ROOS COMMUNITY
FACILITIES ACT OF
1982 AND
CONSENTING
TO THE LEVY OF SPECIAL TAXES THEREON TO
PAY THE
COSTS OF SERVICES TO BE PROVIDED
BY THE COMMUNITY
FACILITIES
DISTRICT
1. The undersigned requests that the City Council of the City of Lake
Elsinore, initiate and conduct proceedings pursuant to the Mello -Roos Community Facilities Act
of 1982 (the "Act") (Government Code Section 53311 et seq.), for the annexation of territory
to community facilities district no. 2015-1 of the property described below and consents to
the annual levy of special taxes on such property to pay the costs of services to be provided
by the community facilities district.
. 2. The undersigned requests that the community facilities district provide
any services that are permitted under the Act including, but not limited to, all necessary service,
operations, administration and maintenance to provide police protection services, including but
not limited to criminal justice services, and fire protection and suppression services in the area
surrounding the subject project.
3. The undersigned hereby certifies that as of the date indicated opposite
its signature, it is. the owner of all the property within the proposed boundaries of the
community facilities district described in Exhibit A hereto and as shown on the map Exhibit B
hereto.
4. The undersigned requests that a special election be held under the Act to
authorize the special taxes for the proposed community facilities district. The. undersigned
waives any requirement for the mailing of the ballot for the special election and expressly
agrees that said election may be. conducted by mailed or hand -delivered ballot to be returned
as quickly as possible to the designated election official, being the office of the City Clerk and
the undersigned request that the results of said election be canvassed and reported to the City
Council at the same meeting of the City Council as the public hearing on the annexation of
territory to community facilities district no. 2015-1 or at the next available meeting.
5. Pursuant to Sections 53326(a) and 53327(b) of the Act, the undersigned
expressly waives all applicable waiting periods for the election and waives the requirement for
analysis and arguments relating to the special election, and consents to not having such
materials provided to the landowner in the ballot packet, and expressly waives any
requirements as to the form of the ballot. The undersigned expressly waives all notice
requirements relating to hearings and special elections (except for published notices required
by the Act), and whether such requirements are found in the California Elections Code, the
California Government Code or, other laws or procedures, including but not limited to any
Petition Form
notice provided for by compliance with the provisions of Section 4101 of the California
Elections Code.
6. The undersigned hereby consents to and expressly waives any and all
claims based on any irregularity, error, mistake or departure from the provisions of the Act or
other laws of the State and any and all laws and requirements incorporated therein, and no
step or action in any proceeding relative to annex territory to community facilities district
no. 2015-1 of the portion of the incorporated area of the City of Lake Elsinore or the special
election therein shall be invalidated or affected by any such irregularity, error mistake or
departure,
IN WITNESS WHEREOF, I hereunto set my hand this 15 day of t-joVernb�
20 110.
[NAME OF LANDOWNER]
By:
Nape:Vtri4etFlow
Title: ))r0 eci" Moff-TV
OWNER'S PROPERTY:
TRACT MAP OR PARCEL MAP NO.
or PROJECT NO.
OWNER'S MAILING ADDRESS:
K& Rom- CatiF'cvv)ia , LLC
-6(03110 lr=iNo V Zhtan0 VQiIVLl Lir.
Wj1dbM0✓ CA- gL5'1'5
FILED IN THE OFFICE OF THE CITY CLERK OF THE CITY COUNCIL OF THE CITY OF
LAKE ELSINORE THIS DAY OF , 20_
City Clerk of the City Council of the
City of Lake Elsinore
Petition Form
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual
who signed the document, to which this certificate is attached, and not the truthfulness, accuracy,
or validity of that document.
State of California
County of Riverside
On November 15, 2016 before me, Sonia Rodriguez, Notary Public,
personally appeared Vernell Williams, who proved to me on the basis of
satisfactory evidence to be the person(&) whose name(&) is/are subscribed
to the within instrument and acknowledged to me that he/sheAhey
executed the same in his/her/their authorized capacity(+es), and that by
his/her/their signature(&) on the instrument the person(&), or the entity
upon behalf of which the person(&) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of
California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
SONIA RODRIGUEZ�
Commission •� 2100652
Q � n� .b Notary Public -California D
z:
? °' Riverside County
My Comm. Expires Feb 20, 2019
(SEAL)