HomeMy WebLinkAboutApplication APPLICANT 1/15/2014 'i
City of Springfield SPRINGFIELD
Development Services Department
225 Fifth Street ;;iq
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Springfield, OR 97477 ]
Annexation Application Type IV
Application Type (Applicant: Check one) '
Annexation Application Pre-Submittal: IN
Annexation Ai2gimcatmon Submittal: ❑
ProposalRequired
Prope Owner: City of Springfield - Springfield Utilit Board Phone: 541-726-2396
Address: 202 South 18th Street Springfield, OR 97477 Fax: 541-747-7348
E-mail: steveawesubutil.com
Owner Signature:
Owner Signature:
Agent Name: Richard Satre AICP ASLA Phone: 541-686-4540 x 2
Company: Schirmer Satre Group Fax: 541-686-4577
rick@schirmersatre.
Address: 375 W 4th Ave. Suite 201 Eugene, OR 97401 E-mail com
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.
17-0335534; 18-03-02-12;
ASSESSOR'S MAP TAX LOTS 7100; 301' 600
Pro erty Address: N/A
Area of Request: Acres:4.16
Existing Use(s) Water Reservoir Site
of Property:
Proposed Use Phased Improvements to an existing water reservoir site.
of Property:
PropertyRequired
Reviewed By:
Case No.: Date: /1 /zv�y (initials)
Application Fee: Postage Fee: Total Fee:
Page 1
JAN 15 2014
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
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: /
�• ---�s�-<-.--�� Date:
Signature
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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:
Date:
Signature
Print
PRE-SUBMITTAL RECD
JAN 15 2014
Page 2
APPLICANTS SHOULD COMPLETE THE FOLLOWING STEPS PRIOR TO SUBMITTING AN
APPLICATION. APPLICATIONS NOT HAVING ALL BOXES CHECKED WILL BE RETURNED
TO THE APPLICANT AND WILL THEREFORE DELAY THE APPLICATION REVIEW
PROCESS.
66 Application Fee Isoc 5.7-125(B)(15))
Refer to the Development Code Fee Schedule for the appropriate fee calculation formula. Fees
are based upon the area of land being annexed. Copies of the fee schedule are available at the
Development Services Department. Fees are payable to the City of Springfield.
rd Petition/Petition Signature Sheet Isoc 5.7-125(B)(2)]
To initiate an annexation by consents from property owners as explained below, complete the
attached Petition Signature Sheet (refer to Form 1). (Photocopies may be submitted @ Pre-
Submittal, with original copies @ time of application submittal).
Consent by Property Owners TORS 222.170(1)1
If the proposal is to be initiated by the owners of at least one-half of the land area, land
value, and land ownership, complete Form 2. To give consent for a particular piece of
property, persons who own an interest in the property, or who are purchasers of property
on a contract sale that is recorded with the county, must sign the annexation petition.
Generally, this means that both husband and wife should sign. In the case of a corporation
or business, the person who is authorized to sign legal documents for the firm may sign the
annexation petition. Please provide evidence of such authorization. To ensure that the
necessary signatures are obtained, please complete the attached worksheet (Form 2).
(Photocopies may be submitted @ Pre-Submittal, with original copies @ time of
application submittal).
0 Certification of Ownership Isoc 5.7-125(B)(5)7
After completing the attached Petition Signature Sheet (Form 1), have the Lane County
Department of Assessment and Taxation certify the ownerships within the proposed annexation
area. (Photocopies may be submitted @ Pre-Submittal, with original copies @ time of
application submittal).
A Owners Worksheet
Information on the Petition Signature Sheet can also be found on Form 2, Owners and Electors
Worksheet. (Photocopies may be submitted @ Pre-Submittal, with original copies @
time of application submittal).
56 Supplemental Information Form Isoc 5.2-125(B)(1) and (ii))
Form 3 (attached) provides additional information for the proposed annexation that is not
requested on the Annexation Application Type IV form, such as special districts that currently
provide services to the proposed annexation area. (Photocopies may be submitted @ Pre-
Submittal, with original copies @ time of application submittal).
❑ Copy of the Deed (required at application submittal)
❑ Copy of Preliminary Title Report (required at application submittal)
Title Report has to be issued within the past 30 days documenting ownership and listing all
encumbrances.
Revised 10/9/13 kl Page 10 of 16
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A Annexation Description [SDC 5.7-125(8)(9)]
A metes and bounds legal description of the territory to be annexed or withdrawn must be
submitted electronically in Microsoft Word or a compatible software program. A legal description
shall consist of a series of courses in which the first course shall start at a point of beginning.
Each course shall be identified by bearings and distances and, when available, refer to deed
lines, deed corners and other monuments. A lot, block and subdivision description may be
substituted for the metes and bounds description if the area is platted. The Oregon Department
of Revenue has the authority to approve or disapprove a legal description. A professionally
stamped legal description does not ensure Department of Revenue approval.
u Cadastral Map [SDC 5.7-125(B)(10)]
Three clean copies of the most current cadastral map or maps, to scale, must be provided. An
additional cadastral map at the same scale shall be provided that shows the proposed
annexation area in relationship to the existing city limits. Cadastral maps can be purchased from
the Lane County Assessment and Taxation Office.
un ORS 222.173 Waiver Form [SDC 5.7-125(B)(8)]
Complete the attached waiver (Form 4). The waiver should be signed by each owner within the
proposed annexation area.
uJ Public/Private Utility Plan [SDC 5.7-125(B)(12)]
A plan describing how the proposed annexation area can be served by key facilities and services
must be provided with the Annexation Agreement. Planning and public works staff will work with
the applicant to complete the Annexation Agreement.
0 Written Narrative addressing approval criteria as specified below. All annexation requests
must be accompanied with a narrative providing an explanation and justification of response with
the criteria stated in the application (also stated below). [SDC 5.7-125(B)(13) and (14)]
A. The affected territory proposed to be annexed is within the City's portions of the urban
growth boundary and is contiguous to the city limits or separated from the City limits
only by a public right-of-way or a stream lake or other body of water;
B. The proposed annexation is consistent with applicable policies in the Metro Plan and in
any applicable refinement plan or Plan Districts;
C. The proposed annexation will result in a boundary in which the minimum level of key
urban facilities and services as defined in the Metro Plan can be provided in an orderly
efficient and timely manner; and
D. Where applicable fiscal impacts to the City have been mitigated through a signed
Annexation Agreement or other mechanism approved by the City Council.
m Three (3) copies of the previously required information.
ALL PLANS AND ATTACHMENTS MUST BE FOLDED TO 81/2" BY 11" AND BOUND BY
RUBBER BANDS.
Revised 10/9/13 kl Page 11 of 16