HomeMy WebLinkAboutCOUNCIL - AGENDA ITEM - 05/02/2000 - FIRST READING OF ORDINANCE NO. 44, 2000, AMENDING AGENDA ITEM SUMMARY ITEM NUMBER: 11
FORT COLLINS CITY COUNCIL DATE: May 2,2000
STAFF: Wanda Krajicek
SUBJECT:
First Reading of Ordinance No. 44, 2000, Amending the General Form for Petitions for
Initiative, Referendum, and Recall.
RECOMMENDATION:
Staff and the Governance Committee recommend adoption of the Ordinance on First Reading.
FINANCIAL IMPACT:
Funds are available in the City Clerk's budget to reprint the forms.
EXECUTIVE SUMMARY:
The City Charter requires Council to prescribe by ordinance the general form of petition for
initiative, referendum, and recall. This Ordinance amends the general form by splitting the
combined form into three (3) individual forms, reformatting the signature lines to provide more
adequate space to provide all required information, clearly indicating required attachments, and
eliminating from the Affidavit of Circulator the statement that the circulator is a registered
elector. (The U.S. Supreme Court has held that it is impermissible to require that petition
circulators be registered electors.)
BACKGROUND:
The current form being used for petitions was approved by the Council in 1988. Actual use of
the form over the years has brought to light some design issues which are cumbersome for bcf�
the petition circulators and staff. The current form is designed to be used for initiativ .,
referendum, or recall, and requires the petition representatives to "black out" two of the t3 LI c
terms so that only the appropriate type of petition is reflected. The original intent of the
was to save printing costs. However, advances in printing technology have diminished the val-11
of an "all-in-one" design. The second design flaw in the current form is the lack of adequate
space available for an individual signing a petition to record all required information (signature,
DATE: May 2, 2000 2 ITEM NUMBER: 11
printed name, address, date of signing). Language has been added to each form to clearly
indicate to the voter what documents are required to be attached to each petition section.
The Affidavit of Circulator attached to the current form includes a statement that the circulator is
a registered elector of the City. The U.S. Supreme Court has held that it is impermissible to
require that petition circulators be registered electors. Although a proposed Charter amendment
to eliminate that statement from the affidavit for the circulators of local petitions was defeated by
the voters in November 1999, the registered elector requirement should not be enforced and that
representation is being deleted from the sworn affidavit.
The proposed amended forms, if approved, will provide petition forms to citizens that are
customized for their specific purpose (initiative, referendum, or recall), provide adequate space
for citizens to sign the petition which will make it easier for staff to verify signatures, clearly
identify required attachments, and will remove the language relating to circulators being
registered electors.
ORDINANCE NO. 44, 2000
OF THE COUNCIL OF THE CITY OF FORT COLLINS
AMENDING THE GENERAL FORM FOR PETITIONS
FOR INITIATIVE, REFERENDUM, AND RECALL
WHEREAS, pursuant to Section 2(b)(1) of Article IX of the Charter of the City of Fort
Collins, the City Council is to prescribe by ordinance, upon recommendation of the City Clerk, a
general form of petition for recalls; and
WHEREAS, pursuant to Section 5(b)(1) of Article X of the Charter of the City of Fort
Collins, the City Council is to prescribe by ordinance, upon recommendation of the City Clerk, a
general form of petition for initiatives and referendums; and
WHEREAS, on May 19, 1987, the Council did prescribe a general form of petition for
circulation and filing by petitioners for each measure sought to be initiated or referred to the vote of
the electors and for recall of elected officials,which form was subsequently amended on November
1, 1988 to remove language from the Affidavit of Circulator relating to the prohibition of payment
of circulators; and
WHEREAS, actual usage of the previously approved forms has brought to light certain
improvements which could be made to the forms; and
• WHEREAS,a recent U.S. Supreme Court ruling has held that it is impermissible to require
that petition circulators be registered electors; and
WHEREAS,the City Clerk recommends Council approval of the amended general forms of
petition for recall, initiative, and referendum.
NOW, THEREFORE, BE IT ORDAINED BY THE COUNCIL OF THE CITY OF FORT
COLLINS as follows:
Section1. That the general form ofpetition for recall petitions,attached hereto as Exhibit
"A", is approved.
Section 2. That the general form of petition for initiative petitions, attached hereto as
Exhibit`B", is approved.
Section 3. That the general form of petition for referendum petitions,attached hereto as
Exhibit"C", is approved.
Section 4. That the City Clerk be, and hereby is, directed to have a sufficient quantity
of petition forms printed for distribution,upon request,to any individual or group that has filed with
the City Clerk an affidavit commencing recall proceedings,anotice of intent to circulate an initiative
petition, or a notice of protest against the going into effect of an ordinance.
Introduced and considered favorable on first reading and ordered published this 2nd day of
May, A.D. 2000, and to be presented for final passage on the 16th day of May, A.D. 2000.
Mayor
ATTEST:
City Clerk
Passed and adopted on final reading this 16th day of May, A.D. 2000.
Mayor
ATTEST:
City Clerk
Exhibit "A"
Petition Section No.
•
PETITION FOR RECALL
TO: The City Council of the City of Fort Collins
GENERAL STATEMENT OF PURPOSE
WARNING:
IT IS AGAINST THE LAW
For anyone to sign any recall petition with any name other than his or her own or to knowingly
sign his or her name more than once for the same measure or to knowingly sign such petition
when not a registered elector.
DO NOT SIGN THIS PETITION UNLESSYOU AREA REGISTERED ELECTOR.
TO BE A REGISTERED ELECTOR,YOU MUST BE A CITIZEN OFTHE STATE OF COLORADO
AND A RESIDENT OF THE CITY OF FORT COLLINS AND REGISTERED TO VOTE IN FORT
COLLINS MUNICIPAL ELECTIONS.
Do not sign this petition unless you have read or had read to you the "Statement of Charges" and
"Statement of Defense" in its entirety and understand its meaning.
PETITION REPRESENTATIVES
(not less than 3, no more than 5)
Name Address
1.
2.
3.
4.
. 5.
NOTE. Throughout its circulation, each petition section shall contain and have attached immediately following this
page a copy of the charges, and if requested by the person sought to be recalled, a copy of the statement of
defense.
This page must be replaced by a copy of:
AN AFFIDAVIT STATING THE REASONS FOR THE RECALL
OF THE OFFICER SOUGHT TO BE REMOVED (STATEMENT OF CHARGES)
(limited to 200 words)
If requested by the affected officer,this page
must be replaced by a copy of:
AFFECTED OFFICER'S SWORN STATEMENT OF DEFENSE OF CHARGES
(limited to 300 words)
•
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
. (refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
1 Printed Name City
Signature Residence Address(Street and Number) Date Signed
2 Printed Name City
Signature Residence Address(Street and Number) Date Signed
3
Printed Name City
Signature Residence Address(Street and Number) Date Signed
4
Printed Name City
Signature Residence Address(Street and Number) Date Signed
5 Printed Name City
Signature Residence Address(Street and Number) Date Signed
6 Printed Name City
Signature Residence Address(Street and Number) Dale Signed
7 Printed Name City
Signature Residence Address(Street and Number) Date Signed
8
Printed Name City
Signature Residence Address(Street and Number) Date Signed
9 Printed Name City
Signature Residence Address(Street and Number) Date Signed
1 O Printed Name City
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section(refer tofirst page of petition for definition of registered elector)
Page 1 Off
Signature Residence Address(Street and Number) Date Signed
11 Printed Name city
Signature Residence Address(Street and Number) Date Signed
12 Printed Name city
Signature Residence Address(Street and Number) Date Sigred
13 Printed Nama city
Signature Residence Address(Street and Number) Date Signed
14 Printed Name city
Signature Residence Address(Street and Number) Date Signed
15 Printed Name city
Signature Residence Address(Street and Number) Date Signed
16 Printed Name city
Signature Residence Address(Street and Number) Date Signed
17 Printed Name city
Signature Residence Address(Street and Number) Date Signed
18 Printed Name city
Signature Residence Address(Street and Number) Date Signed
19 Printed Name city
Signature Residence Address(Street and Number) Date Signed
20 Printed Name city
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
21 Printed Name city
Signature Residence Address(Street and Number) Date Signed
29
Printed Name city
Signature Residence Address(Street and Number) Date Signed
23
Printetl Name pity
Signature Residence Address(Street and Number) Date Signed
24
Printed Name city
Signature Residence Address(Street and Number) Date Signed
25 Printed Name city
Signature Residence Address(Street and Number) Date Signed
26 Printed Name pity
Signature Residence Address(Street and Number) Date Signed
27 Printed Name pity
Signature Residence Address(Street and Number) Date Signed
28
Printed Name city
Signature Residence Address(Street and Number) Date Signed
29 Printed Name city
Signature Residence Address(Street and Number) Date Signed
30 Printed Name city
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
31 Printed Name city
Signature Residence Address(Street and Number) Date Signed
32 Printed Name city
Signature Residence Address(Street and Number) Date Signed
33 Printed Name city
Signature Residence Address(Street and Number) Date Signed
34 Printed Name city
Signature Residence Address(Street and Number) Date Signed
35 Printed Name city
Signature Residence Address(Street and Number) Date Signed
36 Printed Name city
Signature Residence Address(Street and Number) Date Signed
37 Printed Name city
Signature Residence Address(Street and Number) Date Signed
38 Printetl Neme city
Signature Residence Address(Street and Number) Date Signed
39 Printed Name city
Signature Residence Address(Street and Number) Date Signed
40 Printed Name city
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
go (refer to first page of peUon for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
41 printed Name city
Signature Residence Address(Street and Number) Date Signed
42 Printed Name city
Signature Residence Address(Street and Number) Date Signed
43
Printetl Name city
Signature Residence Address(Street and Number) Date Signed
44
Printed Name city
Signature Residence Address(Street and Number) Date Signed
45
Printed Name city
Signature Residence Address(Street and Number) Date Signed
46 Printed Name Ciry
Signature Residence Address(Street and Number) Date Signed
47 Printetl Name city
Signature Residence Address(Street and Number) Date Signed
48
Printed Name city
Signature Residence Address(Street and Number) Dale Signed
49 Printed Name city
Signature Residence Address(Street and Number) Date Signed
0 Printed Name city
DO NOT SIGN THIS PETITION UNLESS Petition
Section
YOU ARE A REGISTERED ELECTOR
(refer to first page of petition for definition of registered elector) Page 1 Off
Signature Residence Address(Street and Number) Date Signed
51 Printed Name city
Signature Residence Address(Street and Number) Date Signed
52 Printed Name city
Signature Residence Address(Street and Number) Date Signed
53 Printed Name city
Signature Residence Address(Street and Number) Date Signed
54 Printed Name city
Signature Residence Address(Street and Number) Date Signed
55 Printed Name city
Signature Residence Address(Street and Number) Date Signed
56 Printed Name city
Signature Residence Address(Street and Number) Date Signed
57 Printed Name city
Signature Residence Address(Street and Number) Date Signed
56 Printed Name city
Signature Residence Address(Street and Number) Date Signed
5.9 Printed Name city
Signature Residence Address(Street and Number) Date Signed
60 Printed Name city
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED• ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
61 Printed Name Ciry
Signature Residence Address(Street and Number) Date Signed
62 Printed Name City
Signature Residence Address(Street and Number) Date Signed
63
Printed Name City
Signature Residence Address(Street and Number) Date Signed
64
Printed Name City
Signature Residence Address(Street and Number) Date Signed
66 Printed Name City
Signature Residence Address(Street and Number) Date Signed
66 Printed Name Ciry
Signature Residence Address(Street and Number) Date Signed
67
Printetl Name City
Signature Residence Address(Street and Number) Data Signed
68 Printed Name qy
Signature Residence Address(Street and Number) Date Signetl
69 Printed Name Ciry
EPrntl'djrN ..
Residence Address(Street and Number) Date Signed
Ciry
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
71 Printed Name city
Signature Residence Address(Street and Number) Date Signed
72 Printed Name city
Signature Residence Address(Street and Number) Date Signed
73 Printed Name city
Signature Residence Address(Street and Number) Date Signed
74 Printed Name city
Signature Residence Address(Street and Number) Date Signed
75 Printed Name city
Signature Residence Address(Street and Number) Date Signed
76 Printed Name city
Signature Residence Address(Street and Number) Date Signed
77 Printed Name city
Signature Residence Address(Street and Number) Date Signed
78 Printed Name city
Signature Residence Address(Street and Number) Date Signed
79 Printed Name city
Signature Residence Address(Street and Number) Date Signed
80 Printed Name city
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
. (refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
81 Printed Name City
Signature Residence Address(Street and Number) Date Signed
82 Printed Name City
Signature Residence Address(Street and Number) Date Signed
83
Printed Name City
Signature Residence Address(Street and Number) Date Signed
84
Printed Name city
Signature Residence Address(Street and Number) Date Signed
85 Printed Name city
Signature Residence Address(Street and Number) Date Signed
86 Printed Name City
Signature Residence Address(Street and Number) Date Signed
87 Printed Name City
Signature Residence Address(Street and Number) Date Signed
88
Printed Name City
Signature Residence Address(Street and Number) Date Signed
89 Printed Name City
Signature Residence Address(Street and Number) Date Signed
90 Printed Name city
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
91 Printed Name city
Signature Residence Address(Street and Number) Date Signed
92 Printed Name city
Signature Residence Address(Street and Number) Date Signed
93 Primed Name City
Signature Residence Address(Street and Number) Date Signed
94 Printed Name city
Signature Residence Address(Street and Number) Date Signed
95 Printed Name city
Signature Residence Address(Street and Number) Date Signed
96 Primed Name city
Signature Residence Address(Street and Number) Date Signed
97 Printed Name city
Signature Residence Address(Street and Number) Date Signed
98 Printed Name city
Signature Residence Address(Street and Number) Date Signed
99 Printed Name city
Signature Residence Address(Street and Number) Date Signed
100 Pnntetl Name city
Petition Section No.
•
STATE OF COLORADO )
COUNTY OF LARIMER ) ss. AFFIDAVIT OF PETITION CIRCULATOR
CITY OF FORT COLLINS )
The undersigned petition circulator, being first duly sworn and upon oath, states that he or she personally circulated
the attached petition; that each signature thereon was affixed in the presence of the petition circulator;that each
signature thereon is the signature of the person whose name it purports to be;that to the best of the knowledge and
belief of the affiant each of the persons signing said petition was, at the time of signing, a registered elector in the
City of Fort Collins;that each signer had an opportunity before signing to read the full text of the petition;and that the
petition circulator has not paid or will not in the future pay, directly or indirectly, any money or other thing of value to
any signer for the purpose of inducing or causing such signer to affix his or her signature to such petition.
AFFIANT.
Signature of Petition Circulator
Printed Name of Circulator
Street Address of Petition Circulator
city/state
Subscribed and sworn to before me this day of
Notary Pudic
Address of Notary Public
Exhibit"B"
Petition Section No.
•
PETITION FOR INITIATIVE
TO: The City Council of the City of Fort Collins
GENERAL STATEMENT OF PURPOSE
• WARNING:
IT IS AGAINST THE LAW
For anyone to sign any initiative petition with any name other than his or her own or to knowingly
sign his or her name more than once for the same measure or to knowingly sign such petition when
not a registered elector.
DO NOT SIGNTHIS PETITION UNLESS YOU ARE A REGISTERED ELECTOR.
TO BE A REGISTERED ELECTOR.YOU MUST BE A CITIZEN OFTHE STATE OF COLORADO
AND A RESIDENT OF THE CITY OF FORT COLLINS AND REGISTERED TO VOTE IN FORT
COLLINS MUNICIPAL ELECTIONS.
Do not sign this petition unless you have read or had read to you the proposed initiative or the
summary of the initiated measure in its entirety and understand its meaning.
PETITION REPRESENTATIVES
Name (not less than 3, no more than 5) Address
1.
2.
3.
4.
. 5
NOTE. Throughout its circulation,each petition section shall contain or have attached immediately following this page
the full text of the proposed ordinance or resolution.
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
• (refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
1 Printed Name _ city
Signature Residence Address(Street and Number) Date Signed
2 Printed Name city
Signature Residence Address(Street and Number) FSSi'gned
3
Printed Name city
Signature Residence Address(Street and Number)
4
Printed Name city,
Signature Residence Address(Street and Number) Date Signed
5 Printed Name city
Signature Residence Address(Street and Number) Date Signed
6 Printed Name city
Signature Residence Address(Street and Number) Date Signed
7 Prinletl Name city
Signature Residence Address(Street and Number) Date Signed
8
Printed Name city
Signature Residence Address(Street and Number) Date Signed
9 Printetl Name city
Signature Residence Atldress(Street and Number) Date Signed
10
Printetl Name city
DO NOT SIGN THIS PETITION UNLESS Petition
Section
YOU ARE A REGISTERED ELECTOR
(refer to first page of petiton for definition of registered elector)
Page 1 off
Signature Residence Address(Street and Number) Date Signed
11 Printed Name - city
Signature Residence Address(Street and Number) Date Signed
12 Printed Name City
Signature Residence Address(Street and Number) Date Signed
13 Printed Name city
Signature Residence Address(Street and Number) Date Signed
14 Printed Name Ciry
Signature Residence Address(Street and Number) Date Signed
15 Printed Name city
Signature Residence Address(Street and Number) Date Signed
16 Printed Name city
Signature Residence Address(Street and Number) Date Signed
17 Printed Name city
Signature Residence Address(Street and Number) Date Signed
18 Printed Name city
Signature Residence Address(Street and Number) Date Signed
19 Printed Name city
Signature Residence Address(Street and Number) Date Signed
20 Printed Name City
DO NOT SIGN THIS PETITION UNLESS Petition
. YOU ARE A REGISTERED ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
21 Printed Name city
Signature Residence Address(Street and Number) Date Signed
22 Printed Name city
Signature Residence Address(Street and Number) Date Signed
23
Printed Name city
Signature Residence Address(Street and Number) Date Signed
24
Printed Name city
Signature Residence Address(Street and Number) Date Signed
. 25 Printed Name city
Signature Residence Address(Street and Number) Date Signed
26 Printed Name city
Signature Residence Address(Street and Number) Date Signed
27 Printed Name city
Signature Residence Address(Street and Number) Date Signed
28
Printed Name city
Signature Residence Address(Street and Number) Date Signed
29 Printed Name city
Signature Residence Address(Street and Number) Date Signed
. 30 Printed Name city
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
31 Printed Name City
Signature Residence Address(Street and Number) Date Signed
32 Printed Name City
Signature Residence Address(Street and Number) Date Signed
33
Printed Name City
Signature Residence Address(Street and Number) Date Signed
34
Printed Name City
Signature Residence Address(Street and Number) Date Signed
35 Printed Name City
Signature Residence Address(Street and Number) Date Signed
36 Printed Name City
Signature Residence Address(Street and Number) Date Signed
37 Printed Name City
Signature Residence Address(Street and Number) Date Signed
38 Printed Name City
Signature Residence Address(Street and Number) Date Signed
39 Printed Name City
Signature Residence Address(Street and Number) Date Signed
40 Printed Name City
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
• (refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
41 Printed Name city
Signature Residence Address(Street and Number) Date Signed
42 Printed Name city
Signature Residence Address(Street and Number) Date Signed
43
Printed Name city
Signature Residence Address(Street and Number) Date Signed
44
Printed Name city
Signature Residence Address(Street and Number) Date Signed
45 Printed Name city
Signature Residence Address(Street and Number) Date Signed
46 Printed Name city
Signature Residence Address(Street and Number) Date Signed
47 Printed Name city
Signature Residence Address(Street and Number) Date Signed
48
Printed Name city
Signature Residence Address(Street and Number) Date Signed
49 Printed Name city
Signature Residence Address(Street and Number) Date Signed
0
50 Printed Name City
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
51 Printed Name city
Signature Residence Address(Street and Number) Date Signed
52 Printed Name City
Signature Residence Address(Street and Number) Date Signed
53
Printed Name City
Signature Residence Address(Street and Number) Date Signed
54 Printed Name City
Signature Residence Address(Street and Number) Date Signed
55 Printed Name City
Signature Residence Address(Street and Number) Date Signed
56 Printed Name City
Signature Residence Address(Street and Number) Date Signed
57 Printed Name City
Signature Residence Address(Street and Number) Date Signed
56 Printed Name City
Signature Residence Address(Street and Number) Date Signed
59 Printed Name City
Signature Residence Address(Street and Number) Date Signed
60 Printed Name City
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section f Page 1 of
(refer to first page of petition for definition of registered elector)
Signature Residence Address(Street and Number) Date Signed
61 Printed Name city
Signature Residence Address(Street and Number) Date Signed
62 Printed Name pity
Signature Residence Address(Street and Number) Date Signed
63
Printed Name city
Signature Residence Address(Street and Number) Date Signed
64
Printed Name city
Signature Residence Address(Street and Number) Date Signed
65 Printed Name city
Signature Residence Address(Street and Number) Date Signed
66 Printed Name pity
Signature Residence Address(Street and Number) Date Signed
67 Printed Name city
Signature Residence Address(Street and Number) Date Signed
66
Printed Name city
Signature Residence Address(Street and Number) Date Signed
69 Primed Name city
Signature Residence Address(Street and Number) Date Signed
• 70 Printetl Name pity
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 Of
Signature Residence Address(Street and Number) Date Signed
71 Printed Name city
Signature Residence Address(Street and Number) Date Signed
72 Printed Name city
Signature Residence Address(Street and Number) Date Signed
73
Printed Name city
Signature Residence Address(Street and Number) Date Signed
74
Printed Name pity
Signature Residence Address(Street and Number) Date Signed
75 Printed Name city
Signature Residence Address(Street and Number) Date Signed
76 Printed Name city
Signature Residence Address(Street and Number) Date Signed
77 Printed Name city
Signature Residence Address(Street and Number) Date Signed
78 Printed Name city
Signature Residence Address(Street and Number) Date Signed
79 Printed Name city
Signature Residence Address(Street and Number) Date Signed
80 Printed Name city
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
. (refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
81 Printed Name city
Signature Residence Address(Street and Number) Date Signetl
82 Printed Name city
Signature Residence Address(Street and Number) Date Signed
83
Printetl Name city
Signature Residence Address(Street and Number) Date Signed
84
Printed Name city
Signature Residence Address(Street and Number) Date Signed
85 Printed Name city
Signature Residence Address(Street and Number) Date Signed
86 Printed Name city
Signature Residence Address(Street and Number) Date Signed
87 Printed Name city
Signature Residence Address(Street and Number) Date Signed
88
Printed Name city
Signature Residence Address(Street and Number) Date Signed
89 Printed Nam city
Signature Residence Address(Street and Number) Date Signed
• 90 Printed Name city
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
91 Printed Name City
Signature Residence Address(Street and Number) Date Signed
92 Printed Name City
Signature Residence Address(Street and Number) Date Signed
93. Printed Name city
Signature Residence Address(Street and Number) Date Signed
94 Printed Name City
Signature Residence Address(Street and Number) Date Signed
95 Printed Name city
Signature Residence Address(Street and Number) Date Signed
96 Printed Name city
Signature Residence Address(Street and Number) Date Signed
97 Printed Name City
Signature Residence Address(Street and Number) Date Signed
98 Printed Name city
Signature Residence Address(Street and Number) Date Signed
99 Printed Name City
Signature Residence Address(Street and Number) Date Signed
100 Pnnted Name city
Petition Section No.
•
STATE OF COLORADO )
COUNTY OF LARIMER ) SS. AFFIDAVIT OF PETITION CIRCULATOR
CITY OF FORT COLLINS )
The undersigned petition circulator, being first duly sworn and upon oath,states that he or she personally circulated
the attached petition; that each signature thereon was affixed in the presence of the petition circulator; that each
signature thereon is the signature of the person whose name it purports to be;that to the best of the knowledge and
belief of the affiant each of the persons signing said petition was, at the time of signing, a registered elector in the
City of Fort Collins;that each signer had an opportunity before signing to read the full text of the petition;and that the
petition circulator has not paid or will not in the future pay, directly or indirectly, any money or other thing of value to
• any signer for the purpose of inducing or causing such signer to affix his or her signature to such petition.
AFFIANT:
Signature of Petition Circulator
Printed Name of Circulator
Street Address of Petition circulator
City/State
Subscribed and sworn to before me this day of
Notary Pudic
Address of Notary Public -
Exhibit"C"
Petition Section No.
•
PETITION FOR REFERENDUM
TO: The City Council of the City of Fort Collins
GENERAL STATEMENT OF PURPOSE
WARNING:
IT IS AGAINST THE LAW
For anyone to sign any referendum petition with any name other than his or her own or to
knowingly sign his or her name more than once for the same measure or to knowingly sign
such petition when not a registered elector.
DO NOT SIGN THIS PETITION UNLESS YOU AREA REGISTERED ELECTOR.
TO BE A REGISTERED ELECTOR,YOU MUST BE A CITIZEN OFTHE STATE OFCOLORADO
AND A RESIDENT OF THE CITY OF FORT COLLINS AND REGISTERED TO VOTE IN FORT
COLLINS MUNICIPAL ELECTIONS.
Do not sign this petition unless you have read or had read to you the proposed referred
measure or the summary of the referred measure in its entirety and understand its meaning.
PETITION REPRESENTATIVES
(not less than 3, no more than 5)
Name Address
1.
2.
3.
4.
5
NOTE., Throughout its circulation, each petition section shall contain or have attached immediately following this page
the full text of the proposed ordinance or resolution.
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
. (refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
1 Printed Name City
Signature Residence Address(Street and Number) Date Signed
2 Printed Name City
Signature Residence Address(Street and Number) Date Signed
3
Printed Name City
Signature Residence Address(Street and Number) Date Signed
4
Printed Name City
Signature Residence Address(Street and Number) Date Signetl
5 Printed Name City
Signature Residence Address(Street and Number) Date Signed
6 Printed Name City
Signature Residence Address(Street and Number) Date Signed
7 Printed Name City
Signature Residence Address(Street and Number) Date Signed
8
Printed Name City
Signature Residence Address(Street and Number) Date Signed
9 Printed Name City
Signature Residence Address(Street and Number) Date Signed
10 Printed Name Ciry
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
11 Printed Name city
Signature Residence Address(Street and Number) Date Signed
12 Printed Name city
Signature Residence Address(Street and Number) Date Signed
13 Printed Name city
Signature Residence Address(Street and Number) Date Signed
14 Printed Name city
Signature Residence Address(Street and Number) Date Signed
15 Printed Name city
Signature Residence Address(Street and Number) Date Signed
16 Printed Name city
Signature Residence Address(Street and Number) Date Signed
17 Printed Name city
Signature Residence Address(Street and Number) Date Signed
18 Printed Name city
Signature Residence Address(Street and Number) Date Signed
19 Printed Name city
Signature Residence Address(Street and Number) Date Signed
20 Printed Name Cty
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
. (refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
21 Printed Name city
Signature Residence Address(Street and Number) Date Signed
99
Printed Name city
Signature Residence Address(Street and Number) Date Signed
23
Pdnletl Name city
Signature Residence Address(Street and Number) Date Signed
24
Printed Name city
Signature Residence Address(Street and Number) Date Signed
25 Printed Name city
Signature Residence Address(Street and Number) Date Signed
26 Printed Name city
Signature Residence Address(Street and Number) Date Signed
27 Printed Name city
Signature Residence Address(Street and Number) Date Signed
28 Printed Name city
Signature Residence Address(Street and Number) Date Signed
29 Printed Name city
Signature Residence Address(Street and Number) Date Signed
. 30 Printed Name city
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
31 Printed Name city
Signature Residence Address(Street and Number) Date Signed
32 Printed Name city
Signature Residence Address(Street and Number) Date Signed
33
Printed Name city
Signature Residence Address(Street and Number) Date Signed
34
Printed Name city
Signature Residence Address(Street and Number) Date Signed
35 Printed Name city
Signature Residence Address(Street and Number) Date Signed
36 Printed Name city
Signature Residence Address(Street and Number) Date Signed
37 Printed Name city
Signature Residence Address(Street and Number) Date Signed
38 Printed Name city
Signature Residence Address(Street and Number) Date Signed
39 Printed Name city
Signature Residence Address(Street and Number) Date Signed
40 Printed Name city
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
. (refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
41 Printed Name city
Signature Residence Address(Street and Number) Date Signed
42 Printed Name city
Signature Residence Address(Street and Number) Date Signed
43
Printed Name city
Signature Residence Address(Street and Number) Date Signed
44
Printed Name city
Signature Residence Address(Street and Number) Date Signed
45 Printed Name city
Signature Residence Address(Street and Number) Date Signed
46 Printed Name city
Signature Residence Address(Street and Number) Date Signed
47 Printed Name city
Signature Residence Address(Street and Number) Date Signed
48
Printed Name city
Signature Residence Address(Street and Number) Date Signed
49 Printed Name city
Signature Residence Address(Street and Number) Date Signed
50 Prnted Name Ciry
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
51 Printed Name Ciry
Signature Residence Address(Street and Number) Date Signed
52 Printed Name City
Signature Residence Address(Street and Number) Date Signed
53
Printed Name City
Signature Residence Address(Street and Number) Date Signed
54
Printed Name City
Signature Residence Address(Street and Number) Date Signed
55 Printed Name City
Signature Residence Address(Street and Number) Date Signed
56 Printed Name City
Signature Residence Address(Street and Number) Date Signed
57 Printed Name City
Signature Residence Address(Street and Number) Date Signed
58 Printed Name City
Signature Residence Address(Street and Number) Date Signed
59 Printed Name City
Signature Residence Address(Street and Number) Date Signed
60 Printed Name City
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section
• Page 1 off
(refer to first page of petition for definition of registered elector)
Signature Residence Address(Street and Number) Date Signed
61 Printed Name city
Signature Residence Address(Street and Number) Date Signed
62 Printed Name city
Signature Residence Address(Street and Number) Date Signetl
63
Printed Name city
Signature Residence Address(Street and Number) Date Signed
64
Printed Name city
Signature Residence Address(Street and Number) Date Signed
65 Printed Name city
Signature Residence Address(Street and Number) Date Signed
66 Printed Name city
Signature Residence Address(Street and Number) Date Signed
67 Printed Name city
Signature Residence Address(Street and Number) Date Signed
68 Printed Name city
Signature Residence Address(Street and Number) Date Signed
69 Printed Name city
Signature Residence Address(Street and Number) Date Signed
70 Prinletl Name City
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
71 Printed Name City
Signature Residence Address(Street and Number) Date Signed
72 Printed Name City
Signature Residence Address(Street and Number) Date Signed
73 Printed Name City
Signature Residence Address(Street and Number) Date Signed
74 Printed Name City
Signature Residence Address(Street and Number) Date Signed
75 Printed Name City
Signature Residence Address(Street and Number) Date Signed
76 Printed Name City
Signature Residence Address(Street and Number) Date Signed
77 Printed Name City
Signature Residence Address(Street and Number) Date Signed
78 Printed Name City
Signature Residence Address(Street and Number) Date Signed
79 Printed Name City
Signature Residence Address(Street and Number) Date Signed
80 Printed Name City
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
. (refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
81 Printed Name city
Signature Residence Address(Street and Number) Date Signed
82 Printed Name city
Signature Residence Address(Street and Number) Date Signed
83
Printed Name city
Signature Residence Address(Street and Number) Date Signed
84
Printed Name city
Signature Residence Address(Street and Number) Date Signed
85 Printed Name city
Signature Residence Address(Street and Number) Date Signed
86 Printed Name city
Signature Residence Address(Street and Number) Date Signed
87 Printetl Name city
Signature Residence Address(Street and Number) Date Signed
88 Printed Name city
Signature Residence Address(Street and Number) Date Signed
S9 Printed Name city
Signature Residence Address(Street and Number) Data Signed
. 90 Printetl Name city
DO NOT SIGN THIS PETITION UNLESS Petition
YOU ARE A REGISTERED ELECTOR Section #:
(refer to first page of petition for definition of registered elector) Page 1 of
Signature Residence Address(Street and Number) Date Signed
91 Printed Name Ciy
Signature Residence Address(Street and Number) Date Signed
92 Printed Name City
Signature Residence Address(Street and Number) Date Signed
93 Printed Name city
Signature Residence Address(Street and Number) Date Signed
94 Printed Name city
Signature Residence Address(Street and Number) Date Signed
95 Printed Name City
Signature Residence Address(Street and Number) Date Signed
96 Printed Name city
Signature Residence Address(Street and Number) Date Signed
97 Printed Name city
Signature Residence Address(Street and Number) Date Signed
98 Prinletl Name City
Signature Residence Address(Street and Number) Dale Signed
99 Printed Name City
Signature Residence Address(Street and Number) Date Signed
100 Printed Name city
Petition Section No.
STATE OF COLORADO )
COUNTY OF LARIMER ) SS. AFFIDAVIT OF PETITION CIRCULATOR
CITY OF FORT COLLINS )
The undersigned petition circulator,being first duly sworn and upon oath,states that he or she personally circulated
the attached petition; that each signature thereon was affixed in the presence of the petition circulator;that each
signature thereon is the signature of the person whose name it purports to be;that to the best of the knowledge and
belief of the affiant each of the persons signing said petition was, at the time of signing, a registered elector in the
City of Fort Collins;that each signer had an opportunity before signing to read the full text of the petition;and that the
petition circulator has not paid or will not in the future pay, directly or indirectly, any money or other thing of value to
any signer for the purpose of inducing or causing such signer to affix his or her signature to such petition.
AFFIANT:
Signature of Petition Circulator
Printed Name of Circulator
Street Address of Petition Circulator
City/State
Subscribed and sworn to before me this day of
Notary Pudic
Addrew of Notary Public