HomeMy WebLinkAboutApplication APPLICANT 11/5/2013 •
City of Springfield
Development Services Department SPRINGFIELD
225 Fifth Street
Springfield, OR 97477
Phone: (541) 726-3753
Fax: (541) 726-3689
Metro Plan Amendment %1
Application, Type IV
Type of Plan Amendment(Check One)
❑ Type I: is a non-site specific amendment of the Plan.
® Type II: changes the Plan diagram; or is'a site-specific Plan text amendment.
Property Subject to the Amendment (if applicable)
Tax Assessor Map Tax Lot(s)
Street Address Acres-
Metro Plan Designation Refinement Plan Designation
Description of Proposed Amendment(Attach additional sheets if,needed)
4o
Applicant/Owner Information
Printed Name of Applicant e/.' /2 "/ / Phone:
U I � _ 1
Applicant Signature Date /2A t) c5/ 2013
Mailing Address
Property Owner Signature Date
Mailing Address
/ For Office Use Only:
Case No. 7Y/p'"YI 3'000ot Received By 1/ i 1 _( � f/r5 3
Date Accepted as Complete
Fee 1 - X10 &t t/WA cav