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PAC Nomination Form

PAC Nomination Form

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Published by Tad Sooter

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Published by: Tad Sooter on May 07, 2009
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06/14/2009

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BAINBRIDGE ISLAND METROPOLITANPARK & RECREATION DISTRICT
PO Box 10010Bainbridge Island, WA 98110E-mail:perry@biparks.org (206) 842-2306
PARKLAND ACQUISITION COMMITTEE
NOMINATION OF PROPERTY FOR PARKLAND ACQUISITION
Instructions: Please complete this form and submit to the Parkland Acquisition Committee(PAC) no later than June 30, 2009.
The PAC will review nominations and provide notice to theapplicant/owner of the PAC’s initial findings within 60 days of receipt. Property nominationsreceived after June 30, 2009 may be considered for future years’ funding.SUBMITTED BY (NAME) ___________________________________________________ ADDRESS _________________________________________________________________ PHONE (DAY) _________________________ (EVENING) ________________________ E-MAIL ADDRESS _________________________________________________________ 1. YOU DO NOT NEED TO BE THE OWNER TO NOMINATE A PROPERTYAre you the owner? Y______ N_______ a) If no, do you represent the owner? Y ________ N ________ b) If yes, what is your role? Realtor___________ Attorney __________ Other (specify) ___________________________ 2. If you are not the owner’s representative, please provide:a) Owner’s name _____________________________________________________ b) Owner’s address ___________________________________________________ c) Tax parcel no. (optional) ____________________________________________ 
NOTE: 
Tax parcel number search available at the Kitsap County Assessor’s web site: 
http://kcwppub3.co.kitsap.wa.us/ParcelSearch/ 
 
SIZE, LOCATION, AND PRINCIPAL FEATURES OF THE PROPERTY – 
 
Please describe size,location, principal features, and general character of property (e.g., forested, cleared vacant lot,

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