HomeMy WebLinkAboutApplication APPLICANT 6/23/2011 • City of Springfield • • SPRINGFIELD
Development Services Department
225 Fifth Street
Springfield, OR 97477 61111L /
Final Site Plan Review
Application Type (Applicant: check one)
Site Plan: ® Minor Site Plan Modification: n
Ma'or Site Plan Modification: n
Required Project Information ra (Applicant: complete this section)
Applicant Name: Nick Boyles Phone: 541. 954.0217
Company: OBO Enterprises LLC Fax:
Address: 1390 Grosbeak Court. Redmond,Oregon 97756
Applicant's Rep.: Kristen Taylor Phone: 541-687-1010 ex 15
Company: TBG Architects& Planners/Inc Fax: 541-687-0625
Address: 132 East Broadway, Suite 200, Eugene, Oregon 97401
Property Owner: Same as Applicant information above Phone:
Company: Fax:
Address:
ASSESSOR'S MAP NO: 17-02-33-32 TAX LOT NO(S): 6300&6200
Property Address: 5175 &5195 Main Street
(Tax Lot 6300)29,064& (Tax Lot 6200)36,606
Size of Property: Total 65 670 SF Acres n Square Feet
Proposed Name of Project:
If you are filling in this form by hand, please attach your proposal description to this application.
Description of Mixed-use development: Community Commercial restaurant single tenant building or multi-tenant
Proposal: office/personal service/retail/development and a Medium-Density multiple-unit housing complex.
Existing Use: One single family rental home on Tax Lot 6300
Si . natures: Please sun and .rint our name and date in the assro.riate box on the next .a.e.
Required Project,Information (City Intake Staff: complete this section)
Associated Applications: 1\1 P2-it _ 2-
Case No.: TI P)J I—OoOO 2._-- Date: 6O/23 t( Reviewed by:I- (/Li
Application Fee: $ S 7QD" '.3 S Technical Fee: $2 0 'S )- Postage Fee: $0
TOTAL FEES: $ � U ` U PROJECT NUMBER: T iSJ I (-00005
:ter .._... - ,a,_ .�:wse;::aflw _ F ..�_ .,..,, ,tom �. :t„- -• t ._ . x _ _
Date Received:
JUN 2`3 2011
Revised 1/1/08 Molly Markarian 1 of 4
Final Submittal_
Signature •
•
I represent this application to be complete for submittal to the City. I affirm that 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:
Date: �74y<
Signature
Print
•
Date Received:
JUN 2 3 2011
Final Submittal
Revised 1/1/08 Molly Markarian 2 of 4
•
Final Site Plan Review Submittal Requirements Checklist
NOTE: If you feel an item does not apply, please state the reason why and attach the
explanation to this form.
® Application Fee - refer to the Development Code Fee Schedule for the appropriate fee
calculation formula. A copy of the fee schedule is available at the Development Services
Department. The applicable application, technology, and postage fees are collected at the
time of complete application submittal.
® Final Site Plan Review Application Form
Z Letter Addressing Conditions of Approval - lists and addresses each condition of
approval, detailing the actions taken and current status of each item.
® Five (5) Copies of the Final Site Plan Sets incorporating all required modifications and
applicable conditions
N Additional Documents requested as Conditions of Approval as part of the Site Plan
Review decision.
Date Received:
JUN 2 3 2011
Final Submittal
Revised 1/1/08 Molly Markarian 4 of 4