Resolution No. ______

A RESOLUTION OF APPLICATION BY THE

CITY COUNCIL OF THE (Insert name of city)_________________________

REQUESTING THE LOCAL AGENCY FORMATION COMMISSION TO

INITIATE PROCEEDING FOR THE REORGANIZATION OF TERRITORY

RESOLVED by the City Council of the (Insert name of city)_________________________ , that,

WHEREAS, the (Insert name of city)_______________________________ desires to initiate

proceedings pursuant to the Cortese-Knox-Hertzberg Local Government Reorganization Act of 2000,

commencing with Section 56000 of the California Government Code, for a reorganization which

would concurrently annex territory to the (Insert name of city) ______________________________

and detach territory from (Insert name of agency)___________________________________ ; and,

WHEREAS, notice of intent to adopt this resolution of application has been given, and this
Council has conducted a public hearing based upon this notification; and,

WHEREAS, the principal reasons for the proposed reorganization are as follows:
(State principal reasons)

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

________________________________________________________________ ; and,

WHEREAS, the following agency or agencies would be affected by the proposed
jurisdictional changes:

and,

WHEREAS, the territory proposed to be reorganized is Inhabited / Uninhabited (use one), and a map and description of the boundaries of the territory are attached hereto as Exhibits A & B and by this reference incorporated herein; and,

WHEREAS, it is desired to provide that the proposed reorganization be subject to the following

terms and conditions:(List of terms and conditions or insert "None") __________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

______________________________________________; and,

WHEREAS, this proposal is consistent with the adopted spheres of influence for all of the agencies which would be affected by reorganization; and,

WHEREAS, this Council certifies that: (Insert findings pursuant to CEQA) _________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

______________________________________________

(Insert if applicable) WHEREAS, this Council has determined that this proposal meets the criteria for waiver of Conducting Authority proceedings as set forth in Government Code Section 56837(c);

NOW, THEREFORE, this Resolution of Application is hereby adopted and approved by the City

Council of the (Insert name of city) ___________________________, and the Local Agency Formation

Commission of (Insert name) ____________________________ County is hereby requested to take

proceedings for the annexation of territory as authorized and in the manner provided by the

Cortese-Knox-Hertzberg Local Government Reorganization Act of 2000.

PASSED AND ADOPTED this ______ day of _______________, 19___, by the City Council

of the ____________________________, County of ____________________________, State

of California, by the following vote:

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