HomeMy WebLinkAboutApplication APPLICANT 4/11/2008 (2)
City of Spnngfield
Development Services Department
225 Fifth Street
Sprrngfield, OR 97477
Tree Felling Permit
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A licant Name:
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TAX LOT NO S
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Associated Cases: S
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Case No.: D\2. c.. cd6 - COOd 1- Date: G(
A lication Fee: Technical Fee:
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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:
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ignature
Date: 1-/-;0-08
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Date Received
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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
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Date Received:
APR 1 1 2008
Original Submittal
SITE
Map 17"()2-32-43
Tax Lot 5700
North
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