HomeMy WebLinkAboutApplication APPLICANT 6/26/2013 City of Springfield SP=
Development Services Department
225 Fifth Street
Springfield, OR 97477
Minimum Development Standards (Minor)
Required Project Information (Applicant: complete this section)"
Applicant Name: a c le (0 6 h Phone: 551l 86 sr G 3 g Z
Company: Ie8r,1e to- Pet tt1a--µfu c ur,•'1 E-mail: j 04/3�n�/�e fNelorPe•can%
Address: 2-2-20 �dulI,/A%/ r e1� DE 97y0 3
Applicant's Reep.:"_ //__Ryon l` eifer Phone: Stu- 9fl-9`/05
Company: !Jlh�-I"et01 69 no4ruef/cm E-mail:J7Enc 914net%Heba�
cons'frucdeon.cdm
Address: L/17/ W f Ave i &tient , CR 9707 ,
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Property Owner: W,t-O/5ff .106 De7 1/61ePM&UT 2i° Phone:C(1 I '4 s 5 /700
Company E-mail: I"L I ed ce-Le.: :Sh c6N
Address: Po f-o)c 96 i D ��9 CS(Z `l 7 4 0 �I
ASSESSOR'S MAP NO: t 1 I IITAX LOT NO(S): 1I-C13 O un03-"Y-0/ 900
Property Address: 2220 NVjeV" 1147 �jr?vip � ! ' C8
Size of Property: - �� Acres Si S Square Feet n
Description of If you are filling In this form by hand,please 9ttach your proposal description to this application.
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Proposal: ; )01 x !( s Steel. 5uf/cJ 9 4 (c .
Existing Use: lof/Y%rcd i'}lvenTory SYdrtz9e and s+sIr
Si•natures: Please sun and 'rint our name and date in the a• 'ro'riate box on the next •a.e.
Required Property Information (City Intake Staff complete this section)
Associated Cases:
Case No.: 11P 113- 0031c Date: (9 44/13 Reviewed by:
Application Fee: $ .o Technical Fee: $ 74.T3v Postage Fee: $0
TOTAL FEES: $ 62 • 33 PROJECT NUMBER:
Date Received:
JUN 2 6 2013
ortet 4,i.au nI'i`naI
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Signatures
The undersigned acknowledges that the information in this application Is correct and accurate.
Applicant:
t •. 666 Date: G 45--/2"°)3
Signatu
J e. Co 133
Print
If the applica ' not the owner,the owner hereby grants permission for the applicant to act in his/her behalf.
Owner: - S
" '� Date: 1p LSD, 3
Signature /f-fslsi4 e 2 i GJ/DC
Radii-44( S_ Eked, k
Print
I certify that I prepared the attached plot plan and that it contains the information specified in the submittal
requirements checklist. I certify that the plot plan is accurate based upon field locates and the best
available information. I understand that City staff will rely upon the plot plan in making any decisions -regarding the Minimum Development Standards application. I accept full responsibility and liability in the
event that there are any omissions, mistakes,or inaccuracies in the plot plan.
Plot Plan
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