HomeMy WebLinkAboutApplication APPLICANT 9/30/2013 • •
City of Springfield 2 SPRINGFIELD
Development Services Department
225 Fifth Street
Springfield, OR 97477 61111L
Annexation Application Type IV
Application 'Type ` ' ,r ' Y « (Applicant Check one),
Annexation Application Pre-Submittal: y'
Annexation A. .lication Submittal: O
Required Propoiar Information t z<Complete-This Section)
Property Owner: P, 'J, q f cer Phone: �—
Address: /
�� C ,,. S.43, 1Je., 1r.0 ��p (. Fax:
E-mail: Ci>r_ c(e--e77.n.:_.Z.c. it
Owner Signature:
Owner Signature: // f://....77/ l l
Agent Name: /'j .hL��/ 1.;., . SS, Phone _aJ/c.
Company: P/. /,.C,,., (? . -E?�sfi;i =ii �?ii.�c'�q Fax: ---
Address: /' j ��f �... � . �j��( ( 6e . E-mail /f1. -;„� /, cziv�
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.
ASSESSOR'S MAP NO: I 0-0 ? I TAX LOT NO(S): I ?,t-):?)
Property Address: / `t l Hrr.1.f/f1' /-\1/'r' /? P. S, ^ [, /rd;?c.z, er-2 72y"7/
Area of Request: Acres: /7. / 2 1 / Square Feet: / --
Existing Use(s) ;� �a �, n,Is /)2,�I;Q,izz
of Property:
Proposed Use Are /€, .Cr n-L. /), %:4,-e
of Property: J )
'Required Property Information ;A(Crty In+take,Staff 'Complete'This Section) "•
Case No.: l ?? -coo 2_ Date: Reviewed By: mi 'ID�
J (initials) III
Application Fee: C")2JD • OD Postage Fee: Total Fee: 5)6 ,
PQ_5i3 PRE-SUBMITTAL RECD
SEP 3 0 2013 Page 8 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
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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: /
x;',./ J
1,/L_..-- Date: c-✓ .1 -/51
Signature /
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:
7: C'
!� Date: /-17--(
Signetu e ' n
7, * i , 75;,..,l.( A,. /-_1�4riir;.4
C, 7,-.4 1<=
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Mitchell Janisse
Building Contractor
2425 N. 34th St. Springfield, OR 97477
CCB# 103548
541-912-1324
September 27th 2013
City of Springfield
Development Services
RE: 1891 Hayden Bridge Road - Private Utility Plan and Justification of annexation
City staff:
Private Utility Plan
My annexation proposal /application is for the sole purpose of connection this residence to city sewer
service. The listed house and septic system was built approximately in 1950 and has a failing septic tank.
The property is already serviced by SUB electric and Rainbow water Dist. There are two (2) sewer stubs
inside the property, one form 19th St and one from Hayden Bridge Rd. I would like to connect this house
and property to one of these sewer stubs. No other services are needed and no other changes to the
property are will take place. with this application.
Narrative Justification
The affected terititory proposed to be annexed
Is in The Urban Growth Boundary of Springfield
Is separated from city limits by Hayden Bridge Road to the immediate north.
Is near to city limits on the west and south separated by several city blocks
The proposed annexation is consistent with policies in the Metro and refinement plans.
The proposed annexation will result in the final urban facility and service (sewer) being provided to this
property, all other services are currently resident there. Sewer connection services can be provided in an
efficeient and timely manner due to (2) sewer stubs existing inside the property already.
There is no fiscal impact to the City of Springfield other than the application process and has been
mitigated by the annexation agreement and associated fees.
Thank you for your help and consideration.
PRE-SUBMITTAL REC'D
SEP 3 0 2013
Mitch Janisse
-Branch
ENGINEERING.=
Since 1977
September 13,2013 civil transportation
Structural • yeotech nicaI
S U R V E Y I N G
ANNEXATION LEGAL DESCRIPTION
1891 Hayden Bridge Rd, Springfield
TM 17-03-25-21 TL 13200
Branch Engineering Inc. Project No. 13-208
SITUATED in Lane County, State of Oregon in the Northwest 1/4 of Section 25, Township 17
South, Range 3 West,Willamette Meridian, being more particularly described as follows:
BEING all those lands conveyed to Cathy Lee Stark in that Warranty Deed recorded on June 3,
2009 as Reception Number 2009-030109 in the Lane County Oregon Official Records; the outer
boundary of said lands being more particularly described as follows:
COMMENCING at the centerline-centerline intersection of Hayden Bridge Road and 19th Street;
THENCE North 89°21'00" West, 145.62 feet along the centerline of Hayden Bridge Road;
THENCE South 00°14'00"West, 30.00 feet to the Initial Point of Loughead Tract as platted and
recorded in Book 16 on Page 14 in the Lane County Oregon Plat Records, said point being the
POINT of BEGINNING;
THENCE continuing along the east boundary of said Loughead Tract the following numbered
course(s):
1. South oo°14'OO"West, 65.0o feet;
THENCE leaving said east boundary the following numbered course(s):
2. South 89°21'00" East, 116.00 feet to the west right-of-way margin of 19th Street;
THENCE along the west right-of-way margin of 19th Street the following numbered course(s):
3. North, 48.78 feet,
4. North 51°24'59" West, 26.39 feet to the south margin of Hayden Bridge Road;
THENCE along the south margin of Hayden Bridge Road the following numbered course(s):
5. North 89°21'00" West, 95.11 feet,
RETURNING to the POINT of BEGINNING.
r REGISTERED
I PROFESSIONAL
LAND SURVEYOR
PRE-SUBMITTAL RECD O'R EGN o GN
H J
SEP 3 0 2013 6916218
•RENEWAL DATE: 12/31/2013 I
EUGENE-SPRINGFIELD SALEM-KEIZER
310 5th Street,Springfield,OR 97477 I p: 541.746.0637 I f: 541.746.0389 I www.branchengineering.com
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Di PIRE SSUBMITfAL REC'D
a n. a _ C:.
SEP 3 0 2013
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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
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1:7-62. � �� ?�s'� ��, �w(L C'' l � ///. O
TOTALS: () / ? /I L,CCL 2.
TOTAL NUMBER OF OWNERS IN THE PROPOSAL 1
NUMBER OF OWNERS WHO SIGNED Z
PERCENTAGE OF OWNERS WHO SIGNED
/6U/'.
TOTAL ACREAGE IN PROPOSAL
ACREAGE SIGNED FOR
PERCENTAGE OF ACREAGE SIGNED FOR
/6/X
TOTAL VALUE IN THE PROPOSAL
/
VALUE CONSENTED FOR /
PERCENTAGE OF VALUE CONSENTED FOR /7/ .9)
/c'//,
PRE-SUBMI1TAL RECD
SEP302013
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FORM 3
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.)
Contact Person: /106(( L.
E-mail: /}% /zL,7 %el ,'eiC.i f(z , ! r •- �
Supply the following information regarding the annexation area.
• Estimated Population (at present):
• Number of Existing Residential Units:
• Other Uses: /&'is j,!v
• Land Area: U: /7 total acres
• Existing Plan Designation(s):
' .Existing Zoning(s): � /,� •
• Existing Land Use(s): -S;n,J/r •.r'r,c
• Applicable Comprehensive Plan(s):
• Applicable Refinement Plan(s):
• Provide evidence that the annexation is consistent with the applicable
comprehensive plan(s) and any associated refinement plans. //,
• Are there development plans associated with this proposed annexation?
Yes No /-
If yes, describe.
• Is the proposed use or development allowed on the property under the current
plan designation and zoning?
Yes 1/No
• Please describe where the proposed annexation is contiguous to the city limits
(non-contiguous annexations cannot be approved under 5.7-140, Criteria).
■ n •
d��.,� i�S ,��c L,r�<. , ; n:, ; ) ()Sri ,,r nGti. . ia(_.•
tRt-MitTAL REC'D
SEP 3 0 2013
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Does this application include all contiguous property under the same ownership?
Yes I 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 A Rainbow Water and Fire District
❑ Eugene School District ❑ Pleasant Hill School District
% Springfield School District ❑ McKenzie Fire & Rescue
❑ Pleasant Hill RFPD ❑ Willakenzie RFPD
❑ EPUD SUB ilk,-6-4.--e.._
❑ 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.
(Name)//�! /v // / -, ;SC's (Name)
)
( fdgpS) 2`/ 'Cl.7
A dr (Address)
S,--.„, ..� XJ C” cy 7y 27
I (Cik9) ) (Zip) (City) (Zip)
,
(Name) (Name)
(Address) (Address)
(City) (Zip) (City) (Zip)
IL� /e e,',., cl r (112 /1C) .'7 (I-, .cnr' /9, y. �l 6:p1;1,.''L G-k�r
.G-IJ J 14 el-te .
r' ire t, PRE-SUBMITTAL REC'D
t ✓ SEP 3 0 2013 Page 15 of 16
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FORM 4
WAIVER OF ONE YEAR TIME LIMIT
FOR ANNEXATION PURSUANT TO ORS 222.173
•
This waiver of the time limit is for the following described property:
•
_� �5 • J� -I,S3w /k i 9�:Lz % ,C:,,� .•, l' / e < C1N7
Map and Tax Lot Number Street Address of Property (if address its ben
assigned)
ONE WAIVER OF TIME LIMIT FOR EACH PARCEL, PLEASE
We, the owner(s) of the property described above understand the
annexation process can take more than one year but desire to annex to have
City services. Therefore, we agree to waive the one-year time limitation on
this petition to annex established by Oregon Revised Statutes 222.173, and
further agree that this contract shall be effective ] indefinitely or [ ] until
Date
Si•natures of Leal Owners
Please •tint or t .e name Sim nature Date Si•ned
LCOG: L:18C12008 BOUNCHANGE THANSTIIONIAPPLICATION FORMS SPRLNGPIELU110-03-08 UPDATED FORMSIPRE-SUBMITTAL ANNEXATION APPLICATION JO-07.08.0OC
Last Saved: October D,2010
PRE-SUBMITTAL REC'D Page 16 of 16
• SEP 3 0 2013
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I ;I LANE COUNTY
Property Account Summary
HOUNLVy As Of 9/30/2013 Status:Active
Account No.: 0203909 Alternate Property Number: 1703252113200
Account Type: Real Property
TCA: 01903
Situs Address: 1891 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
Legal: Township 17 Range 03 Section 25 Quarter 21 TL 13200
Parties:
Role Name&Address '
Owner FACKLER RANDY L&JESSICA
2425 34TH ST
SPRINGFIELD OR 97477
Taxpayer FACKLER RANDY L&JESSICA
2425 34TH ST
SPRINGFIELD OR 97477 •
Property Values:
Value Name 2012 2011 2010
MKTTL $116,304 $136,243 $137,693
AVR $101,559 $98,601 $95,729
TVR $101,559 $98,601 $95,729
Property Characteristics:
Tax Year Characteristic Value
2012 Property Class • 101 Res conforming improved
Change Property Ratio 1XX Residential
Size 0.17
Code Split N
Neighborhood 191300
Exemptions:
(End of Report)
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PRE-SUBMITTAL REC'D
• SEP302013
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Run:9/30/2013 10:04:40 AM ASC0037[Ascend_Prod_Rpt] • Page 1
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Power of Attorney
Effective Date: September 17, 2013
I, Randy L. Fackler, US citizen, currently residing in China, on 223-3 Ming Shui Street,
Changchun, Jilin Province, People's Republic of China. 130021
And Jessica Fackler, US citizen, currently residing in China, on 223-3 Ming Shui
Street,Changchun, Jilin, Province, People's Republic of China. Zip code 130021
Do Hereby Appoint Mitchell Paul Janisse, a resident of Springfield, Lane County, OR
Located at 2425 N 34th Street, Springfield, OR 97477
As my attorney-in-fact to act on my behalf for the following purpose(s):
For all business related to and including management of the real property at
1891 Hayden Bridge Road, Springfield, Oregon 97477, excluding selling the property.
This power of attorney is to start to be effective on September 17, 2013, and shall remain
effective until terminated by principle.
I do hereby grant my attorney-in-fact complete and full authority to act in any reasonable
and necessary manner for the purpose of exercising the above-mentioned powers. I also,
ratify all the lawfully performed acts by my attorney-in-fact in exercising those powers. I
fully understand and agree that any third party who is given a copy of this Power of Attorney
may act relying on it. I also, agree that revocation of this Power of Attorney is effective as
to a third party only when they receive receipt of an actual notice by the principle.
Applicable Law
This contract shall be governed by the laws of the State of Oregon, in Lane County and any
applicable Federal Law.
[Lk/r .� .�(1.a7=(%>/ ItsS (ii5 �(; J1-j
'�F.Y Date_ `l e.--/ 2
Signature of Principles :!
By accepting this appointment and acting under it, I the attorney-in-fact ("Agent") do
hereby assume the legal responsibilities of an agent.
Date / / . /�l-
Sjgnature °of Attorney-in-Fact
Subscribed and sworn to before me on .)ej(2(c1� LZ I -4-) (date)
1/1/' F Notary Public, (County)
(State) My commission expires 1 - /( 17
')
♦: OFFICIAL SEAL
vcr;i COMMISSION
BLIIC-O EGOS
MY COMMISSION EXPIRES FEBRUARY 11,2017 PRE-SUBMI1TAl RECD
SEP 3 0 2013