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The district formerly included the city of Ōtsuki and a portion of the city of Uenohara.
District Timeline
Kitatsuru District was founded during the early Meiji period establishment of the municipalities system on July 22, 1878 and initially consisted of 18 villages.
Uenohara was elevated to town status on December 27, 1897, followed by Ōtsuki on April 1, 1933. Saruhashi became a town on April 1, 1935, followed by Shippo on April 1, 1954. However, on August 8, 1954, Shippo and Saruhashi merged with Ōtsuki to form the city of Ōtsuki.