The following shall be substantially the form of a petition for any ordinance or amendment to the charter proposed by the initiative.

WARNING

It is an offense for anyone to sign any Initiative or Referendum petition with any other name than his own, or to knowingly sign his name more than once for the same measure, or to sign such petition when he is not a legal voter.

INITIATIVE PETITION

To the Honorable     __________________
Recorder of the
city of Yoncalla
Douglas County,
Oregon.

We, the undersigned, citizens and legal voters of the city of Yoncalla, Douglas County, Oregon, respectfully demand that the following proposed ordinance, (or amendment to the city charter) shall be submitted to the legal voters of the city of Yoncalla, Douglas County, Oregon, for their approval or rejection at the regular (or special) election to be held on the ____ day of ________, 20___, and each for himself says: I have personally signed this petition; I am a legal voter of the city of Yoncalla, Douglas County, Oregon, and my residence and street number are correctly written after my name.

NAME     ADDRESS    PRECINCT

_________________________________
(Here follow 20 numbered lines
for signatures) (Ord. 211, 1977; Ord. 104 § 1, 1949).