HomeMy WebLinkAboutApplication APPLICANT 11/7/2013 • •
;City of Springfield SPRINGFIELD
Development Services Department
225 Fifth Street
Springfield, OR 97477
Site Plan Review Minor Modification
Required Project Information (Applicant: complete this section)
Applicant Name: I ea./a--rd T rec., lo let Phone:sy/ • 768-sr37
Company: 'KOS6'h l /2/9-!G/c Fax:
Address: 993- ZS3Sr 5j9r, y'4 -/d Ole-• 77y77
Applicant's Rep.: Phone:
Company: Fax:
Address: .
Property Owner: / ifr..r g4-#4.-he- - L L Q Phone:
Company: Fax: .
Address: -
ASSESSOR'S MAP NO: /7-a2-3 /-Zt ITAX LOT NO(S): / O an de Z 3 cadll bI
Property Address: 94.S" 7Ir ZBSTr. .
Size of Property: 72.8 X 7 7 fr4 Acres-El ;. Square Feet ❑
Proposed Name of Project: i0j174.9r it
Description of If you are filling in this form by hand, please attach your proposal description to this application.
Proposal: Trr#r...ue SiPc._s/2t ,rrow/ //ox-3yr To //o xra'
Existing Use: ,'r.c-t,: e3wj-r- - .
Si. natures: Please si•n and 'rint our name and date in the a•Dro'riate box on the next •a•e.
Required Project Information (City Intake Staff: complete this section)
Associated Applications: Tif.Zl 3 -CoYz6 (si''P,, ,:. I
Case No.: ? p 3.�_/,�2., . Date: , if/ 7-kon Reviewed by: '—z,rL
Application Fee: $ / / . '��Technical Fee: $ 6 Z,oS' Postage Fee: $0
'
TOTAL FEES: $ • / / 7 9;(.-) C PROJECT NUMBER: el?,_ 1 6001-1-•• " . ' • Date Received: '
NOV r '7 2013
Revised 5/21/13 KL Original Submittal 1 of 11
S
TT Jo L IN £T/TVS pasnaa
•
•
•
JaMas AJe;iues Aq paAJas aq
ueo pue eaJe.ao!AJas uewn s,A3o ay; u!y;!M 4nq s3!w!! A;!o alp jo ap!slno pasodoad
s! ;uawdo!anap e aiagM '00T-L'S 305-u! pa!;!cads se 'uogeo!!dde uo!3exauuy uy
00T-TZ'S Pue
00T-6'S as u! pa!;!aads se aoueIJeA JO asfl Aaeu0!3aJDS!a Aue 'a!geo!!dde waUM ❑
;uawdo!anap o; aoud pa;3!wgns aq 3snw ;!waad uopeJa3!v a6eu!eaa pue
pue-! a ';uawdo!anap ay; y;!M pasodoad s! 6u11eneJxa Jo bup!!l 'bu!pea6 Aue aJagM - f
• Ma!nW Joj pa;;!wgns uaaq seq uopeo!!dde 3!WJad ay;
aDUapya JO A!;ua.unauoa pa33!wgns aq ;snw 3!wJad a3e3s Jo !eJapa; paJ!nbaa Aud .
A}Jadoad ay; uo pue!;aM e s! aiay3 OJagM A!;uaJJnouoo pa;3!wgns .
aq isnw spur, a3e;s ;o uo!s!n!a uobaJo ay; Aq panadde uogeau!!ap pue!;aM v fi
00T-6T'S DGS U!
pa!J!oads se 4!waad 6u!paJ awl e 'panowaa aq o; pasodo.id ale saga; aaow Jo an!; 41 0
4au;sip Ae!aano ay;3 o spaepue3s
!euo!4!ppe alp ssaJppe ';o!a;sip Ae!aano ue u!43!M s! ewe luawdolaAap ay; aJawM •❑
;uasaid a!qe; Ja3eM y6!y a Jo/pue sips,a!qe;sun we way;
i!.A!;uaJJnouoo pa 3!wgns'aq ;snw aaau!6ua ue Aq paaedaJd podab !eo!uyoa3oag y
M1UM do sane;ngp4 3oaJ!p Aue Jo N!ueq jo do;
ay; 40,3004 OUT u!y;!M Jo (MibM) sasanoDJa;eM pa4!w!1 A3!!enb Ja3eM Aue jo jueq •
jo do; ay; Jo ;aa; 09T u!y3!M p0;eoo! sa!4aadwd J04 }aodab uo!3oa;oad eaw ueued!b f
O*Z-Z'£ as 1-13!M aoue!!dwoo a4e.psuowap
04 s!eua1ew !euo!;!ppe Aue 'pasodoad s! 4uawdo!anap A!!we;-pinw a 0a011M ❑
pa.gnbab aq Aew sIeiaa;ew leuomppy
. aoanos 345!1 pea Jo4 4aodaa 4503 ou;awo;ogd
ewe snou!wn! pue 'a6e43eM
'uopeu!wn!!! ;o adA4 pue, 'sa!6ue440-;no 6u!pn!ou! '6u!p!a!ys ;o 4ua3xa pue adAj fi
payoe132 pue
6u!pue 4s awl y;oq 'saan3xy 346!! Joua3xa ;o 4g6!aq wnw!xew pue 'uo!3e3uauo 'uo!;eool n
ueid 6u44bfl a4is-uo •6
I I
Signatures
The undersigned acknowledges that the information in this application is correct and accurate.
Applicant: �•
Date: ////i3
Signatu
/ J 7J / •
Print •
• If the applicant is not the owner, the owner hereby grants permission for the applicant to act in his/her behalf.
Owner: • ' • It .. . r
a
i • %1) Date: 0/7//-)
• Sig °•ture':a •
Print
•
.'- . . . . r
. . . - . . , • '
; ,i o
Date Received:
<'. NOV - 7 2013
ajr, Original Submittal -
Revised 5/21/13 KL 2 of 11
• •
TT 40 9 1)1 £T/TZ/S Pasinaa
sueld Joo13 lenidaouoD ❑
4y6laq 6ulpnloun
'a;ls ;uawdolanap ay; Joj pasodoJd saJn}on.ps pue.s6unpinnq lle ;o suol;enala JoiJa 4x3 ❑
sueld'le.Inpa;lypJv •;
6ul;ueld jo poypaw pue
'6upeds 'azns 'A;I;uenb 'aweu uowwoo.'sapads 'snua6.4Jeyo ay} ul'apnhui •(Janoo
puna6 'sgnJys 'saaJ}) sleua}ew adeospuel jo sadA} pasodoJd ay} WJO; 4J. ego ul }snl n
saa]; ;aaJ}s ;o adA} pue uol;eool
wa;sAs uol;e6!JJl ;uauewJad ay} ;o 'suol}eon}Dads 6ulpnloul 'uopduosap ua}}lJM ❑
OT T-1717 DOS y}!M, aouepJ000e ul 6uluaaJDS ❑
a6eJanoo.adeospuel
Jo uol;elnoleo apnpul.o} seaJe aoeds uado pue,6uldeospuel Jo suolsuawlp pue uol}eool ❑
;oa;lgDJV adeospuel'e"Aq uMeJO ❑
ueld-adeaspuel •a
113 Pue }no pasodoJd Jo }unowy ❑
(slenJa;ul ;oo; s }e aq Aew saull Jno;uoo ay} '}uaoJad 0T Jam) adols e y;n' puel
Joj) slenJa;ul }oo; T }e uMeJp sau11 sJno}uoo pue suol;enala ;ods pasodoJd pue 6ul}slx3 ❑
paule}aJ aq o} sAeMa6eule.ip leJn}eu pue aaJnseaw A;lienb
Ja}ennwJo;s spuod uol}ua}ap Jo/pue sllaM Aap 'sunseq 43483 'saull uleJp :o} pa}1w11 }ou
}nq 6ulpnpul 's}uauodwoo swaisAs ;uawabeuew Ja}ennwjo}s ;o uol}eool pue ails oqj ❑
suJa}}ed a6euleJp ea.ie snolnJadwI pue snon ■Jad ❑
suol;eool a6Jeyoslp pue suJa;}ed a6euneJp boob ❑
wa}sAs }uawa6euew Ja}eMwJO}s ay} jo }Jed se pasodoJd
aJe s}ueld anion }oa}14pJy adeospuel pasuaoll uo6ai0 ue Aq paJedaJd ueid bul}ueld ❑
Jaaul6u3 I!n1D pasuaoll uobaJo ue Aq paJedaJd ❑
ueld ;uawa6euew .a;ennwJo;s '3 'Ginned 'bulpeJD •p
s;unod uol;oauuoo pasodoJd ay} a}eolpui •/u algeo pue 'auoydala}
'se6 'JaMod 'sinew Ja;eM 'swa}sAs }uawabeuew Ja}eMwJO}s 'sulew JaMas AJe}lues
6wpnpul a 41s ay; o; ;uaoe[pe pue uo sal}111}n pasodoJd pue 6ul}sIxa ;o azns pue uol}eool ❑
slleJ; pue 'sAeM ssaooe ueu}sapad 'sdweJ meMapls
'smewapls pasodoJd pue 6ul;snxa lle Jo le!Ja;ew uol}oni}suoo pue 'y;p!M 'uol;eool ❑
sa311pe3 ollgnd Jellwls pue 's}lun xog1lew poogJogq6lau 'sJawJoJsueJ;
'salod JaMod 's;ueJpAq aJy 'saolnap lOJ}uoo oujeJ; paJlnbaJ pue 6ul}slxa }o ion;eDO1 ❑
6ul}y611 }aaJ;s pasodoJd pue 6ul 4slxa Jo adA; pue uol}eool ❑
•algeolldde JI 'sn}e;s aoueua}ulew pue dlgsJauMo 6ulpnpul '}uawdolanap
pasodoJd ay} o} }uaoelpe Jo uIip M sAeM-4o-4g6lJ Jay;o JO suol}eolpap 'sAane 's;aaJ;s
pasodoJd pue bun;snxa lle Jo, saweu pue '(AeM-Jo-}y6u pue Gunned jo) sy}plM 'uol}eool ❑
s;uawasea pasodoJd pue 6ul}slxa lle Jo y;p!M pue uo!Teool ❑
Jaaul6u3 HAD pasuaoll uo6aj0 ue Aq paJedaJd ❑