HomeMy WebLinkAboutNotes, Meeting PLANNER 10/8/2013 i
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City of Springfield SPRINGFIELD
Development Services Department
225 Fifth Street
Springfield, OR 97477
TYPE IV ANNEXATION OREGON
PRE-SUBMITTAL CHECKLIST
Annexation
Project Name: Fackler Annexation
Project Proposal: Annex a 0.17 acre lot with single family home due.to failed septic
system
Case Number: PRE13-00029
Project Address: 1891 Hayden Bridge Road
Assessors Map and Tax Lot Number(s): Map 17-03-25-21, Tax Lot 13200
Zoning: Low Density Residential (LDR)
Overlay District(s): Urbanizable Fringe (UF-10)
Applicable Refinement Plan: N/A
Refinement Plan Designation: N/A
Metro Plan Designation: Low Density Residential (LDR)
Pre-Submittal Meeting Date: October 8, 2013
Application Submittal Deadline: April 6, 2014
Associated Applications: None
POSITION REVIEW OF NAME
Project Planner Land Use Planning Andy Limbird 726-3784
Transportation Planning Transportation Michael Liebler 736-1034
Public Works Civil Engineer Utilities, Sanitary & Storm Sewer Clayton McEachern 736-103E
Deputy Fire Marshal Fire and Life Safety Gilbert Gordon 726-2293
Building Official Building David Bowlsby 736-1029
I-APPLICANT_'S DEVELOPMENT"REVIEW-TEAM :7E% .`
Owner Applicant's Representative
Randy & Jessica Fackler Mitchell Janisse
223-3 Ming Shui Street 2425 34`h Street
Changchun, Jilin Province Springfield, OR 97477
People's Republic of China.
130021
Date Received: %0/8/20/3
Revised 2/12/2009 Planner: AL
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ANNEXATION APPLICATION
PRE-SUBMITTAL CHECKLIST
PLANNING
o Application fee - discuss the applicable fees
o Petition / Petition signature sheet signed by the owners of at least one-half of the
land area, land value, and land ownership. In the case of joint ownership, both owners
must sign. For corporate, trust, or business ownership, an authorized signature is
required along with evidence of such authorization.
Complete Incomplete See Planning
Note(s)
Petition / Petition Signature Sheet
o Certification of ownership issued by the Lane County Department of Assessment and
Taxation for all property owners within the annexation area.
Complete Incomplete See Planning
Note(s)
Q Comment Certification of Ownership
o Owners worksheet describing the land ownership, land area, and assessed value of all
property within the annexation area.
Complete Incomplete See Planning
Note(s)
Owners Worksheet
o Supplemental information form providing additional details about the property,
including current use and potential development plans, special service districts that may
provide services to the property, and other information that may have a bearing in
determining the action to be taken.
Complete Incomplete See Planning
Note(s)
Comment Supplemental Information Form
o Legal Description consisting of a metes and bounds description of the territory to be
annexed. A lot, block and subdivision description may be acceptable if the annexation
area is platted. The legal description shall be acceptable to the Oregon Department of
Revenue.
Complete Incomplete See Planning
Note(s)
Q Legal Description
Revised 2/122009 Date deceived: to 9 �3 z
:10/3
Planner: A
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o Cadastral Map showing the entire annexation area to scale. Three copies of the most
current cadastral map are required. An additional map showing the annexation area in
relationship to the existing city limits also shall be provided.
Complete Incomplete See Planning
Note(s)
LEI Comment Cadastral Maps of the Annexation Area
Map showing relationship of annexation area
to current city limits
o ORS 222.173 Waiver Form signed by each owner within the annexation area.
Complete Incomplete See Planning
Note(s)
ORS 222.173 Waiver Form
o Public/Private Utility Plan describing how the annexation area can be served by key
urban facilities and services. A copy of the signed annexation agreement, if applicable,
shall be provided with the application.
Complete Incomplete See Planning
Note(s)
Public/Private Utility Plan .
El N/A Annexation Agreement
o Written Narrative addressing the annexation approval criteria, confirming that the
property is inside the Urban Growth Boundary and is contiguous with the city limits, and
providing an explanation and justification for the annexation request.
Complete Incomplete See Planning
Note(s)
Q Comment Written Narrative
Planning Notes:
1. Please provide original signed application forms with annexation submittal.
Additional comments not related to the completeness of the application:
• Provide original certification of ownership with annexation submittal.
• Property is also within the service territory of Willamalane Park & Recreation District
and this can be noted on the supplemental information form.
• Provide a redline tax map with the legal description for review by the City Surveyor
and the state Department of Revenue.
• Provide written verification from a professional or the County Sanitarian that the
septic system has failed and connection to City sewer is required.
Revised 2/12/2009 �j 3
Date Received: I
Planner: Al
ANNEXATION REVIEW APPLICATION
PRE-SUBMITTAL CHECKLIST
Transportation Engineer/Planner: Clayton McEachern Case#: PRE2010-00029
Applicant: Feckler
TRANSPORTATION
o Map with Area of Proposed Annexation must be provided which clearly delineated
along with the surrounding area with existing city limits shown.
Complete Incomplete See Transportation
Note(s)
® Map of Proposed Annexation
0 Connection to existing City Limits shown
Title report showing Proof of Ownership
0 DWP zone shown
o Known Infrastructure Issues shall be disclosed, including but not limited to the
present condition and location of utility connection points needed for urban services such
as water supply, sewer, storm drain, electricity and physical access to the site.
Complete Incomplete See Note(s)
Or N/A
® 0 Location and distance of the nearest
sewer and storm drain connection points
® Location and distance to nearest non-city
owned utilities if not connected.
0 Listing of and location of existing utility
connections
® 0 Location of and distance to nearest public
ROW and desired access point(s) to the
facility
Revised 4/20/09 Date Received: 1n/�I}O/3.
Planner: AL /
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TENTATIVE LAND DIVISION APPLICATION
PRE-SUBMITTAL CHECKLIST
Deputy Fire Marshal: Gilbert Gordon Case #: PRE13-00029
FIRE
o Tentative Land Division Plan
Complete Incomplete See Fire
Note(s)
® ❑ Location, widths and names of all existing and
proposed streets, alleys, dedications or other right-of-
ways within or adjacent to the proposed land division
® ❑ Location of existing and required fire hydrants
Fire Notes:
1. Property location is within the 5 minute response time of Springfield Fire Stations 3,
4 and 5.
Additional comments not related to the completeness of the application:
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Date Received: /o 0/3
Planner: AL
Revised 9/24/07
THIS APPLICATION IS:
` ® COMPLETE FOR PROCESSING
❑ INCOMPLETE AND NEEDS MISSING INFORMATION NOTED ABOVE
City Pla e ' ate
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This s not a decision on your application. The pre submittal checklist is valid for 180
days and is intended to assist the applicant in preparing a complete annexation submittal.
The annexation process begins when all the required information and fees are submitted in
accordance with SDC 5.7-125 and this checklist. Annexation requests are not subject to the
120-day processing period for limited land use decisions. Therefore, missing or incomplete
information will delay the annexation process and possibly require additional fees payable to
the City if the new information is submitted after the Notification to Surrounding Property
Owners is sent out and a second notification is required, or if the new information
substantially affects the annexation proposal and additional review is required.
I, the owner/applicant, intend to submit all required items indicated herein to the
City within the 180-day timeline.
At
Ow -r/' .plicant's Signature D.t;
Revised 2/12/2009 Date ReceivedL4?4/d `3 4
Planner: AL