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HomeMy WebLinkAboutSEL 370 Prospective Petition - Not Accepted Prospective Petition SEL 370 rev 01/16 ORS 250.045, Local Initiative and Referendum 250.165, 250.265, 255.135 0 Warning Supplying false information on this form may result in conviction of a felony with a fine of up to $125,000 and/or prison for up to 5 years. Each chief petitioner is required to provide, on the same form, their name, residence address, a contact phone number and a signature attesting that the information on the form is true and correct. Changes to the information provided for a chief petitioner or to the circulator paysatus below must be reported to the Elections Division no later than the 10th day after you first have knowledge or should have had knowledge pf the change. Petition Information Type IX-1 - This filing is an Original ❑ Amendment Initiative Referendum Jurisdiction Some Circulators may be Pa; ❑ County i~: City ❑ District ❑ Yes IN I No Shah the Clty o; Ashland CC7mnii, via Ciir` f~}(.1,f. l`ii) Itl. 13 a C' ~s. +,;,^t.~ Perv,,,,✓ b!e- Energy from lhe5 curler, L~~>, to at IeasSt Title at l,CS.~ia}~l~ G;; 4> te of f 6,~~ .•:i:, SE iJ E in-re'-se-01 the liS:ItL' RE?ne'ri?eltli9 Energy PQrtf01tt7.St31'tCiaLC t3C,'ro by y 20',s ~Q and east 1 5""l by ~ 2025 in i C t !,jics . r ~ E ' 1 t , (RPS) to 50 by Emergency Decl,aralio" We None Petition Correspondence Select the method of receiving notices or other correspondence,#tr'om the Filing Officer. ❑ Correspondence Recipient JXJ Email Chief Petitioners ❑ Mail Chief Petitioners Recipient Information Name Er6ail Address E Chief Petitioner Information At least one original chief petitions must remain throughout the petition process or the petition is void. 4 By signing this document, I hereby state that all information on the form is true and correct and attest that no circulators will be compensated money or other valuable consideration on this petition based 5~ the number of signatures obtained by the circulator. Dd Hetmich Contact Phone 5 5 Residence Address street, city, state, zip 488 Williamson Way, Ashland, C R,, 7520 Mailing Address if different Email Address ashlandfortliefuture cz,, d-pminc.com Signature Date Signe.1 Name Contact Phone iCo llI! D~vivedi 541/699-4785 Residence Address 557 Fo yce Street, Ashland, OR 97520 Mailing Address if differen Email Address s coelidwivedi@gniaii.com r Signature Date Signed )4 A Name Contact Phone 7^~: Thierry d H 0 Al 1541/227-9116 Residence Address 11178 Hiliview Drive Ashl oR 97529 Mailing Address if different --T-Email Address lefoot a,opendoor.com] Signature ZZ, ' - I Date Signed rl If 0 1~ Review of Form SEL 370 for Renewables - Barbara Christensen Page 1 of 1 Review of Form SEL 370 for Renewables D. Helmich <dave@d-pminc.com> Barbara Christensen <barbara.christensenyashiand.or.us>; lefoot@opendoor.com <lefoot@opendoor.com>, Coeli Dwivedi <coelidwivediygmail.com>; Form SEL 370 Prospective Petition for Renewables.pdf; dave.vcf; Ms. Christensen, I understand you will be absent today. Would you please set a short period of time to be available for me tomorrow to bring you the hard copy so we can get the process started for the attached Prospective Petition? I am unavailable for two weeks beginning this Friday (out of the country) so it is important to the sponsors of the prospective petition that I get this in your hands tomorrow. Please call or message me at 510/435-3545 to let me know if and when we can meet tomorrow. If I don't hear from you by tomorrow, I will call on the basis that you may not have had time to read this. Thanks, Dave Helmick https:Houtlook.office365.com/owa/?viewmodel=ReadMessageltem(kItemlD=AAMkAGU... 3/10/2016