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HomeMy WebLinkAboutApplication APPLICANT 4/11/2008 (2) City of Spnngfield Development Services Department 225 Fifth Street Sprrngfield, OR 97477 Tree Felling Permit '. . A licant Name: Address: 0 !M A licant's Re .: ~ Phone: Fax: Address: I):M? Phone: Fax: Address: Address: Size of Pro e , TAX LOT NO S WI/ ASSESSOR'S MAP NO: Acres D . ,.... Associated Cases: S - QC>Cf3 Co Si ns: ~ Case No.: D\2. c.. cd6 - COOd 1- Date: G( A lication Fee: Technical Fee: Reviewed b: mf M ISC; TOTAL FEES: $ PROJECT NUMBER: ..pRY;;>co::;- -<:::D::)~ Date Received, APR 1 1 2008 Ongmal Submittal Signatures The undersigned acknowledges that the information In this application IS correct and accurate Applicant: Date: / Signature Print If the applicant IS not the owner, the owner hereby grants permission for the applicant to act In his/her behalf Owner: ifIx~ ignature Date: 1-/-;0-08 .seoT LEfflltf/'/1 Print " Date Received , APR 1 1 200S t Onglnal Submittal '7r-//~CJ8, _ ~ Afflt(ffH! ('0/1711IkTfi:7 {'o/Y7/1/fcTp!L fNIWI/\/ {'()/Y5T(ll/cilwV 7f) (1()/VfTlJvT . S 71I~ff d-//V5'Tt?(( l/fit,Tter t4.f /It:~ 1/,//11//;7 8l 'TilL (9(/7 FoI1 pIJAt/it(l/y' (rO/y7!J4fTr.J/! W/l5 TOLD (J'/y/-7 10 (U!/YItlvtf- fdtZ S71l~//v57(;L41i()N.. {'(j/'/71YK7iJ1/ (,vITS T()LP To ttf/lvE- (2/f/>1l9rlf/ll{r OrClO()VJ {Ilrt:. (JJ JJ II pl/'Itf- ;/l/!'E B ( SroyLM711&-1 ,ff Stl/>'te-._ fltl/YT fdI(()w~c- Pr//{I/Vc,. ('c;llfsll1lr('lrOI'l f'ry..il1J'Jc7cJl} (lP>rIJI//ft? r , l~,' \ 7 /!IJ'ITrO'/vI}L ptZ.l/)ov5 TlltflfS. (!) I '-I (I (J) (; ff ~8(( @ 1;)/ W fill.!'> milt /l4"t. 8 my p,JLfp u0 IS r t'J<-Av ..'/>'~ oIL {l;f? Lr 1fVf wit? lI/JVtPtJ W fJ~)Yo1' SI7tf tv (TIf E;xt'I!/,/""Tro/y f)vmp T,/lVc{ jIltp Ii Date Received j'IIo51 TfJf~5 W/!.Iir /fIft.t: 'i-C'I/f!/lfl ~ I I APR 1 1 2008 Ongtnal submIttal fJpfL,rJ Witt- fVlN 8Ik1l. 'TfJl.ft!5 )4..f St1'Cl/'l .4> WMTff/:lr pt=/2M(7) oIL r~/fowt7Vc.- NjYf1/ll/cTro/Y Or jY/fW lk/'Atf5 ON TII? a. u75, 'i 7/1~f 5 WILL 13J!. plf}c.JfP CJ/'f 7ft.? 50I/7ff LiT 137 '3 TI(o~S wi/! r3tf- fL4ctfl7 CJ/I/ Tilt r"IfT~twY /.t7T @) t7lsTi/lrr T/1~5 wtf'/t7- ./'Y/(Jf117 0/'1 J7f4 ~t1I/77t w~ fl'1I/i~/I/ of rile Fl!ql'~//77 Afjl/({tY:;( W(}("lf) hi? 7d ~ fZt!fLlke ITff~ L( O/'f Tift: Sllv7ff ~ /ytfif/l...JfIL OIlIVl/'fIJL ,~wfll...... ~ - pr/YIllrN1/V? 3 T/l~t:.s o/'f /YtJI11/ff32/'! U}/ J.... 5~( ,'~ f5t pL4-vTEtJ ~; EGff /Y~t'PtfCJ pll't /Y.t:='~ 1-h/Ylt3:..: 225 Flfth Street Sprm;;field, Oregon 97477 541-726-3759 Phone c.' IIf Sprmgfield Official Receipt D~. dopment ServIces Department Public Works Department RECEIPT # 3200800000000000224 Date: 04/11/2008 25731PM Job/Journal Number DRC2008,00027 DRC2008,00027 DRC2008,00027 Description CTY Correct Tree $200TR+AppFe Postage Fee Type II ' $155 + 5% Technology Fee Payments Type of Payment Check PaId By SCOTT LEATHAM Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received Amount Due 2,556 00 15500 127 80 $2,838 80 Amount PaId mem 1040 [n Person Payment Total $2,83880 $2,838 80 Date Received APR 1 1 20tl~ Onglnal Submittal cRecemtl Page I of I 411112008 CITY OF SPRINGFIELD VICINITY MAP DRC2008-00027 4661 Bluebelle Way R- oo I :Ii: H co J .ME '- r.: I;;t .f D~.s_ ' TL-~ :EiTl Nt::::j Date Received: APR 1 1 2008 Original Submittal SITE Map 17"()2-32-43 Tax Lot 5700 North +