Hcraa Org Petition Form

Hamilton County Residents Against Annexation I am a resident of Hamilton County and oppose annexation by the city of Chattanooga. I/We chose to reside outside the city limits of Chattanooga, and do not wish to be governed by the ordinances and regulations of the city of Chattanooga, nor wish to receive services from the city or pay taxes to the same. Date: ________/________/_________ Homeowner Name: _________________________________________ Address: __________________________________________________ City:___________________________________ State:______ Zip:___________ Phone Number: ____________________________________________

Additional Adults 18 and over (“Voters”) living at this address who oppose annexation: Signature(s): ________________________________

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Additional comments you would like to make to the City of Chattanooga regarding the proposed annexation: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

Please print this form, fill out, and mail to: HCRAA

6940 Lee Highway, Suite 107

Chattanooga, Tn 37421