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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 , • 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. C 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 • • 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. 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