HomeMy WebLinkAboutApplication APPLICANT 9/25/2013 ,City of Springfield SPRINGFIELD
Development Services Department
225 Fifth Street
Springfield, OR 97477
Historical Review Application
Application Type
• . (Applicant: check one)
Historical Review Type I - Minor Alterations; Sites or Structures: ❑
Historical Review Type II - Major Alterations; Sites or Structures:
Historical Review Type III:
Addition of a Site or Structure to the Historic Landmark Inventory ❑
Removal of a Site or Structure from the Historic Landmark Inventory ❑
Demolition of Historic Land Mark Structures ❑
Required Project Information (Applicant: complete this section)
Applicant Name: j7Ot4 e Phone:51/-554-11M0
Company: W13SORcv21Vc /AJA/ Lte- Fax:
Address: ?D Sag 71852. SPiNLRevo - 9747$
Applicant's Rep.: Phone:
Company: Fax:
Address:
Property Owner: Ci a-vt- LI&5 14.14,Y p it4 Phone:
Company: Fax:
Address: Q D^l C S i 2a'r $Pin/tFf tnii, OQ_ of 74-1
ASSESSOR'S MAP NO: f-O;-35-z4 I TAX LOT NO(S): ( 335-00 bO
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Property Address: ^tat C Sro e
Description of If you are filling in this form by hand, please attach your proposal description to this application.
Proposal: cowV r t-1..‘41-1 rrto mouse- O A air RiZeAKFrisT
n/f1rtcO ) W PryµsL&r `7e INN _ p.10 Pr L'ft?211=ryb S .
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Si.natures: Please si•n and •rint our name and date in the a.•ro.riate box on the next sale.
Required Project.Information (City'Intake:Staffr.complete this section)'-
Associated Applications:
Case No.: rreL/-3 22 O2 H Date: ?/ZJ /a/3 Reviewed by: lin/L.
Application Fee: $349 7 .0 Technical Fee: $ •EO Postage Fee: $ /6v
TOTAL FEES: $ / .O a Date Rec vJc T NUMBER:
SEP 2 5 2013
Revised 1.16.09ddk 1 of 7
Original Submittal
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Signatures •
An application without the Owner's original signature will not be accepted.
The undersigned acknowledges that the information in this application is correct and accurate.
•
Applicant:
A Date: a- 1`6' 20)3
Sign.f ure
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Print
I he applicant is not the owner he owner her y grants permission for the applicant to act in his/her behalf.
Owner: V ��a� •
�/ Date:
ignature
Cc Ko / o' roe r—
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Print
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Revised 1.16.09ddk 2 of 7
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DocuSign Envelope ID:E3598723-2178-4D39-9 Fa2471852Ea .qyu ,}
Signatures
An application without the Owner's original signature will not be accepted.
The undersigned acknowledges that the information in this application is correct and accurate.
Applicant: i
1. L( /A—J Date: J ZUr j
Sign
Print
If the applicant is not owner, the owner hereby grants permission for the applicant to act in his/her behalf.
/y/
Owner: / / 7 tieby. rik
('� eli a*� b6 L G& Date: 9/21/2013
ture 3C34B8134F2MM...
roI Le. TXr,-r. (CV&
'ring
Date Received: •
SEP 2 5 2013
Original Submittal
Revised 1.16.09ddk - -
• •
PROPOSAL DISCRIPTION
407 C STREET SPRINGFIELD, OREGON
Change of use from residential duplex to a four guest room Bed and Breakfast with owners quarters,
named the Washburne Inn. 407 C Street is an existing seven bedroom 4.5 bathroom duplex located in
Downtown Springfield in a Medium Density Residential Zone. It is adjacent to a Mixed Use Commercial
Zone and the Downtown Plan Boundary.
No alternations will be done to exterior of the structures.There will be an exterior sign that conforms to
city codes.There will be parking for six vehicles,two on site and four on street.
We request the removal of four trees on the property because they have grown up over the years and
are a hazard to the structures on the property. They are as follows: 1-10" Diameter Magnolia, 1- 22"
Pine, 1-12" Pine and 1- 10" Holly.
Date Received:
SEP 2 5 2013
Original Submittal_____,
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