HomeMy WebLinkAboutApplication APPLICANT 5/22/2013 • • ,
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City of Springfield SPRINGFIELD
Development Services Department
225 Fifth Street
Springfield, OR 97477
Annexation Application Type IV
Application Type (Applicant: Check one)
Annexation Application Pre-Submittal:
Annexation A. 'lication Submittal: ❑
Required Proposal Information (Applicant Complete This Section)
Property Owner: Do t. r , - 1-koIrtZ) I Phone: (5-y) Sc7•-3059
Address: 7 Ro So 5`7 114 S-irefl Fax: '541)731.-1/cOZ
Sps-,1 Cc 1U ) o,< - 97N 7 9 E-mail: den rn hOI-fih
Owner Signature: r. � -
..— ®G aza. -n
Owner Signature:
Agent Name: Phone
Company: Fax:
Address: E-mail
Agent Signature:
If the applicant is other than the owner, the owner hereby grants permission for the applicant to act in his or her behalf, except.
where signatures of the owner-of-record are required, only the owner may sign the petition.' c"
ASSESSOR'S MAP NO: I /5-OZ. -co P-I I TAX LOT NO(S): 00100
Property Address: h 27 So 57 .54-) 5r �I��,OR •• 91 LI 7 9
Area of Request: Acres: .ta7 Square Feet:
Existing Use(s) Rejt
of Property:
Proposed Use Rea,IA.ev:Tc. l
of Property:
Required Property Information (City Intake Staff: Complete ThisSectionIt .''
Case No.: Yfe / 3 _ iy Date: C/ 43 Reviewed By: ��„pp��
,B�tf 22 (initials) Pslt
Application Fee: !'I C ao Postage Fee: — Total Fee:
PRE-SUBMITTAL RECD pg S 13 - z
MAY 2 2 2013
Page 8 of 16
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Development Issues Meeting Submittal Requirements Checklist
❑ Application Fee - refer to the Development Code Fee Schedule for the appropriate fee
calculation formula. A copy of the fee schedule is available at the Development Services
Department. The applicable application, technology, and postage fees are collected at the
time of complete application submittal. $.S2 1
❑ Development Issues Meeting Application Form .
❑ Five (5) Questions - list specific questions the applicant would like staff to,answer
during the meeting. So that each question may be fully evaluated, the list is limited to five
questions. Examples of relevant issues for annexation include but are not limited to the
following:
• Contiguity
• Availability and capacity of surrounding city services
• Affected special districts •
• Fees
--->❑ Ten (10) Copies of the Proposal - suggested information valuable for staff to review the
proposal is listed below. It is not necessary to include all of these items on the site or plot
plan. However, applicants are encouraged to address as many as possible given that the
level of information that will be derived from the meeting is commensurate with the level
of detail provided in the application.
Applicants are also encouraged to include additional information On the plan as listed in
the Springfield Development Code (SDC) 5.7, Annexations.
1 Drawn in ink on quality paper no smaller than 11" x 17"
ZIN Scale appropriate to the area involved and sufficient to show detail of the plan and
related data, such as 1" = 30', 1" = 50' or 1" = 100'
North arrow
Date of preparation
•
Street address and assessor's map and tax lot number
Dimensions (in feet) and size (either square feet or acres) of the annexation area
in Location and size of existing and proposed utilities, including connection points
pOn-site drainage collection system and flow patterns, the size and location of drain
lines and catch basins, dry wells, and natural drainageways to be retained
Pa Area and dimensions of all property to be conveyed, dedicated, or reserved for
future public road right-of-way
Approximate location, number and dimensions of proposed lots
How streets in the proposal area connect with existing streets
Future development plan, which may include proposed and existing buildings
(location, dimensions, size) or other impervious surfaces
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61_1 ( . , pens PRE-SUBMITTAL REC'D
b `_Z� MAY 2 2 2013
�aulS
7 of 16
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Owner Signatures
This application form is used for both the required pre-submittal meeting and subsequent
complete application submittal. Owner signatures are required at both stages in the application
process.
An application without the Owner's original signature will not be accepted.
Pre-Submittal
The undersigned acknowledges that the information in this application is correct and
accurate for scheduling of the Pre- Submittal Meeting. If the applicant is not the
owner, the owner hereby grants permission for the applicant to act in his/her behalf.
I/we do hereby acknowledge that I/we are legally responsible for all statutory
timelines, information, requests and requirements conveyed to my representative.
Owner:
54-2.../Date:
ignature
h v . 14
Print
Submittal
I represent this application to be complete for submittal to the City. Consistent with the completeness check
performed on this application at the Pre-Submittal Meeting, I affirm the information identified by the City as
necessary for processing the application is provided herein or the information will not be provided if not otherwise
contained within the submittal, and the City may begin processing the application with the information as
submitted. This statement serves as written notice pursuant to the requirements of ORS 227.178 pertaining to a
complete application.
Owner:
Date:
Signature
Print
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PRE-SUBMITTAL REC'D
MAY 222013
Page 9 of 16
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APPLICANTS SHOULD COMPLETE THE FOLLOWING STEPS PRIOR TO SUBMITTING AN
APPLICATION. APPLICATIONS NOT HAVING ALL BOXES CHECKED WILL BE RETURNED
TO THE APPLICANT AND WILL THEREFORE DELAY THE APPLICATION REVIEW
PROCESS.
❑ Application Fee [SDC 5.7-125(3)(15)]
Refer to the Development Code Fee Schedule for the appropriate fee calculation formula. Fees
are based upon the area of land being annexed. Copies of the fee schedule are available at the
Development Services Department. Fees are payable to the City of Springfield.
❑ Petition/Petition Signature Sheet [SDC 5.7-125(B)(2)]
To initiate an annexation by consents from property owners as explained below, complete the
attached Petition Signature Sheet (refer to Form 1).
Consent bv.Prooertv Owners FORS 222.170(1)1
If the proposal is to be initiated by the owners of at least one-half of the land area, land
value, and land ownership, complete Form 2. To give consent for a particular piece of
property, persons who own an interest in the property, or who are purchasers of property
on a contract sale that is recorded with the county, must sign the annexation petition.
Generally, this means that both husband and wife should sign. In the case of.a corporation
or business, the person who is authorized to sign legal documents for the firm may sign the
annexation petition. Please provide evidence of such authorization. To ensure that the
necessary signatures are obtained, please complete the attached worksheet (Form 2).
❑ Certification of Ownership [SDC 5.7-125(B)(5)]
After completing the attached Petition Signature Sheet (Form 1), have the Lane County
Department of Assessment and Taxation certify the ownerships within the proposed annexation
area.
❑ Owners Worksheet
Information on the Petition Signature Sheet can also be found on Form 2, Owners and Electors
Worksheet
❑ Supplemental Information Form [SDC 5.7-125(8)(1) and (11)]
Form 3 (attached) provides additional information for the proposed annexation that is not
requested on the Annexation Application Type IV form, such as special districts that currently
provide services to the proposed annexation area.
❑ Legal Description [SDC 5.7-125(8)(9)]
A metes and bounds legal description of the territory to be annexed or withdrawn must be
submitted electronically in Microsoft Word or a compatible software program. A legal description
shall consist of a series of courses in which the first course shall start at a point of beginning.
Each course shall be identified by bearings and distances and, when available, refer to deed
lines, deed corners and other monuments. A lot, block and subdivision description may be
substituted for the metes and bounds description if the area is platted. The Oregon Department
of Revenue has the authority to approve or disapprove a legal description. A professionally
stamped legal description does not ensure Department of Revenue approval.
❑ Cadastral Map [SDC 5.7-125(3)(10)]
Three clean copies of the most current cadastral map or maps, to scale, must be provided. An
additional cadastral map at the same scale shall be provided that shows the proposed
Page 10 of 16
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FORM 2 .
OWNERSHIP WORKSHEET
(This form is NOT the petition)
(Please include the name and address of ALL owners regardless of whether they
signed an annexation petition or not.
OWNERS
Property Designation Assessed Imp. Signed Signed
(Map/lot number) Name of Owner Acres Value Y/ N Yes No
1$--o7 -64- 1 j-loo Dono-.1tt gogLro ur1 LI.9,400 `( Y
L . &v ti rco.—ra -70C H N
TOTALS:
TOTAL NUMBER OF OWNERS IN THE PROPOSAL
NUMBER OF OWNERS WHO SIGNED Z
PERCENTAGE OF OWNERS WHO SIGNED / 00
TOTAL ACREAGE IN PROPOSAL L7
ACREAGE SIGNED FOR L7
PERCENTAGE OF ACREAGE SIGNED FOR Ilx1
TOTAL VALUE IN THE PROPOSAL I LISlk-loo
VALUE CONSENTED FOR VigQ11 t40
PERCENTAGE OF VALUE CONSENTED FOR 100
PRE-SUBMITTAL REC'Q3 of 16
MAY 2 2 2013
FORM 3
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SUPPLEMENTAL INFORMATION FORM
(Complete all the following questions and provide all the requested information. Attach
any responses that require additional space, restating the question or request for
information on additional sheets.)
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Contact Person: `Don +V.rtn,. •
E-mail: Ann orrton §G r"'& ,
Supply the following information regarding the annexation area.
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• Estimated Population (at present): 7
• Number of Existing Residential Units:
• Other Uses: fnn P
• Land Area: e l01 total acres
• Existing Plan Designation(s): 1—DR
• Existing Zoning(s): 1-DR
• .Existing Land Use(s): 'Rea AtrctTo_�
•
• Applicable Comprehensive Plan(s): ync-kvt e�o r.
• Applicable Refinement Plan(s): r N l tf
• Provide evidence that the annexation is consistent with the applicable
comprehensive plan(s) and any associated refinement plans.
Am.,v__aTir, Vt�,,._,, -3(5 b ICAO-tr 4.2-4 SC.rtjk
• Are there development plans associated with this proposed annexation?
Yes ✓ No
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If yes, describe.
,<r, t6le ki'�u1
• Is the proposed use or development allowed on the property under the current
plan designation and zoning?
•
Yes ✓ No •
• Please describe where the proposed annexation is contiguous to the city limits
(non-contiguous annexations cannot be approved under 5.7-140, Criteria).
Nor tIn �ou.vAv1 •
Page RECD
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MAY 222013
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Does this app lication include all contiguous property under the same ownership?/
Yes '✓ No
If no, state the reasons why all property is not included:
• Check the special districts and others that provide service to the annexation
area:
❑ Glenwood Water District ❑ Rainbow Water and Fire District
❑ Eugene School District ❑ Pleasant Hill School District
l5/Springfield School District ❑/McKenzie Fire & Rescue
❑ Pleasant Hill RFPD RFPD
❑ EPUD L SUB
V'Willamalane Parks and Rec District ❑ Other
• Names of persons to whom staff notes and notices should be sent, in addition to
applicant(s), such as an agent or legal representative.
Nvr4a-
(Name) (Name)
(Address) (Address)
(City) (Zip) (City) (Zip)
(Name) (Name)
(Address) (Address)
(City) (Zip) (City) (Zip)
PRE-SUBMITTAL REC'D
MAY 222013
Page 15 of 16