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HomeMy WebLinkAboutApplication APPLICANT 2/29/2008 City of Springfield Development Services Department 225 Fifth Street Springfield, OR 97477 SPRINGFIELD ~*' Annexation Application Type IV - 7(~ Wcci::vL ~t<P Required Project Information (Applicant: Complete This Section) Applicant Name: Company: Address: Applicant Signature: ~>._'~2.L __ ~l~. "^' ",~,,0~,""_~~ __\4:-='t:-W'-.,< ~~ Property Owner: I Yn/~ i{aJ tl...; Eu ~ Company: I /07/ /da..JtLaw .~ IJI7 d..-- Address: I~gt~,' OIC- '77'-1-77 Owner Signature: (jk tfJ ~L~~~ o iJ t tJU ~- - Phone: Fax: Phone: Fax: '0/>' '>^ O')\. <-<-~~~'>. "'<<-~~W0' '\7 \"'~114{4<:\,*:,,,\.{' ,,'-"" v / If,the'apphcant:ls~other than--the owner;h ~ere\~!a~afITfeSfbf tne ow~ of reCor~,~_ " __ y,. v'X 1'<< ..;",.:>~on:.fomthe .applf '1&~ L ""~ Y<w%'?t A~}~ ~4j&~}h;~>*WM\...l\.~.' ~,;~_ ,3~",-_...._,J"..:ilifW'J--- "'~iri :nis;hi;tlefYbehalf;' ~xceD ' )~f')$1\t.~)t~t>~_>n{ 4 i>.o,,:~;@.>~' 0~"" ~:=~'f"'''';:;''';''::~~ ::N_~?~tI~,_\_,,~t$L_; ASSESSOR'S MAP NO: J 7 -() 3 - 2-2-4 L TAX LOT NO(S): ..25o~ 2~O()J 27lV Property Address: ;L 7 q 3 ~~A~~ '-6t.ud- Area of Request Square Feet: Acres: , f.o q ,~~~~~~~W___ 1w"~0,:m't;\J"\'V~ f @~.J+ ",,"l>~ _ / ;. ",-' ~~"'*tm-'0' ~ Existing Use(s) of Property: Proposed Use '10 of Property: 't t1~ LU~.~ fA J~ ch .h 4.1~ REF: L~PQOO7-oo0/~ _hAVvf()b~7?h~5P07-~4 ._~~~ /;).-;<0-07 ~~.-;;:-~:07"4:7dT~":';~~~; >-;i0:{J.:wz~;"~~' 10 "'V~--~,~''''J$m "";~~p~~ ,^~<<~""'\;';--'JG.1;"1Jjr%0r'J\%if/;<~ .*;~?:,;~.< :::.iis ,,<I;/:::""i"~: :~t1;")''^'''',,-~ '*'1('''-<',*,<> \. h:"'!l'W$:&#~'J"'~~*< Required Property Information (City Intake Staff: Complete This Section) h~d;: t;lttt:.::~ ::::l_::.;:;!!;:::._ __,3,,~*>; '~.-~~~~~o.L:&'4*"~<"~'>~" i7>"",j~(fi*;?g:i@t/~~%%~ ^< >~"21ff'0DPiAi%,~d\t@~*tWJ~2'illl.~__ \>>,L:',:",l~~;,~~~ Case No.: 1-.1<. P ;too g-()oCJO~ Date: ~&.postage.Fee: .,. Reviewed By: :2.. - d.-. q -() 3 (initials) 7<7\ u 541-726-3753 Phone 541-726-3676 Fax DescriptIOn MIse Fee s:\Tidemark\forms\easefees1 rpt Trans Code 1279 Fees Associated With Case #: LRP200 1)004 2793 PHEASANT BLVD CITY OF SPRINGFIELD Revenue Account Number 100-00000-425002 Page 1 of 1 Date Calculated Original Calculated By Amount 2/29/2008 KAL 0 00 Total Due: 2/29/2008 1:1855PM Amount Due 000 $0.00