HomeMy WebLinkAboutApplication APPLICANT 6/6/2008
City of Springfield
Development Services Department
225 Fifth Street
Springfield, OR 97477
Land Division Plat
Partition, Subdivision
Date Received:
JUN - 6 2008
Ongmal SUbmlttaL.JJX-
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Applicant Name: Nathan Keepers
Icompanv:
IAddress:
,
IAPPlicant's Rep.: Pam Clark
Icompanv:
IAddress:
,
I Property Owner: R Keepers Investments, LLC
Icompanv:
IAddress: PO Box 703, Pleasant Hill, OR 97455
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IASSESSOR'S MAP NO: 17-03-26-24 ITAX LOT NO(S): 1100
!property Address: 1881 & 1887 2nd Street
ISize of Property: 27,365
IProposed Name of SubdiVIsion:
,
Phone: (541) 729-3418
R Keepers Investments, LLC
Fax:
PO Box 703, Pleasant HIli, OR 97455
Phone: (541) 302-9790
Olson & Morns
Fax:
(541) 485-3253
380 0 Street, SUite 200, Sprlnqfleld, OR 97477
Phone: (541) 729-3418
Fax:
Acres 0
Sauare Feet [;g]
I Description of If you are f'IIm9 In this form by hand, please attach your proposal descnpt,on to th,s appl'catlon
Proposal: Partition one parcel Into 2 commercial parcels
I Existing Use: Commercial 1 Tentative Case #: PRE200800002
1# of Lots/Parcels: 2 IAvg. Lot/Parcel Size: 13,682 sf IDensity: 3 du/acre
SI natures: Please Sl nand rlnt our name and date In the a ro rlate box on the next
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Associated Applications: ~~ g '7Ab f. _ !")~tQ
Ipre-sub Case No.: 1?rL?~- D1\b 2L Date: Reviewed by:
Icase No.: S'-v62.. Z6D<6- ~2.-Co Date: c;./b/~ ReViewed by: ~ I
IAPPlicatlon Fee: $ ITechnical Fee: $ Ipostage Fee: $0 I
ITOTAL FEES: $ I PROJECT NUMBER: lP6Z..Y7A'O<' - Q)a511
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ReVised 1/1/08 Molly Markanan
1 of 6
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 Meet,ng
Owner:
Date:
Signature
Print
Submittal
I represent this application to be complete for submittal to the City Consistent with the completeness check
performed on this appl'catlon at the Pre-Submittal Meeting, I affirm the information Identified by the City as
necessary for procesSing the application IS provided herem or the information will not be provided If not otherwise
contained Within the submittal, and the City may begin processing the application With the mformatlon as
submitted This statement serves as written notice pursuant to the reqUIrements of ORS 227 178 pertaining to a
complete application
own;:~~~
-Signature
Date:
c;%log
Nathan R Keepers
Print
Date Received
JUN - 6 2008
Onglnal Submittal ~
Revised 1/1/08 Molly Markanan
2 of 6
Land Division Plat Pre-Sutmittal Requirements Checklist
NOTE If you feel an Item does not apply, please state the reason why and attach the
explanation to this form
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
Application Fee - refer to the Development Code Fee Schedule for the appropriate fee
calculation formula A copy of the fee schedule IS available at the Development Services
Department Any applicable application, technology, and postage fees, are collected at
the pre-submittal and submittal stages
Land Division Plat Application Form
Letter Addressing Conditions of Approval - lists and addresses each condition of
approval, detailing the actions taken and current status of each Item
Nine (9) Paper Copies of the Plat stamped and signed by the surveyor
Two (2) Copies of Closure Sheets for the boundary and each lot or parcel and all
common areas, dedicated areas, and easement areas that are not simple parallel offsets
Two (2) Copies of Title Report or Subdivision Guarantee for the parcel being
divided The title report must be dated within 30 days of submittal at the time of the final
submittal An older report IS OK at the pre-submittal stage
Two (2) Copies of Each of the Reference Documents and Plats listed on the plat
Two (2) Copies of Each of the Supporting Documents - the vesting deed (must vest
title to the owner listed on the plat), eXisting easement deeds, and documents listed as
exceptions In the title report, etc
Two (2) Draft Copies of any street dedications
Two (2) Draft Copies of Any New Easements or Restrictions being created by
separate document, Improvement agreements, maintenance agreements, JOint use
Ingress/egress and utility easements, sewer hook up In lieu of assessment, and any other
documents that will be recorded together with the plat or that are required by the
Conditions of Approval
Two (2) Copies of a Consent Statement (Concurrence) on the plat (to be signed by
the lender prior to Final approval) OR Two (2) Copies of an Affidavit of Consent by
separate document IS required from all Trust Deed, mortgage, or other secured loan
Interest holders against the property to be recorded simultaneously with the plat IF any
public dedications or easements are being made and/or any other Interests are being
transferred to the public per ORS 92 075 (2-4) Date Received.
Copies of Wetland Documents as required
JUN - 6 2008
Copies of ODOT Access Permits as required ~
Onolnal Subml"'-'
Draft Copy of Bargain and Sale Deed for Reserve Strips - City Survey-~c I n nas a
template
Verification that Street Tree Agreement is in Progress as required
Draft Copy of the Conditions, Covenants & Restrictions (CC&Rs) as
req u I red
ReVised 1/1/08 Molly Markanan
5 of 6
D Post Monumentation lJeposit as required for subdivIsions only City Survey Section
has current fee schedule and templates
D Location of Any Floodways In accordance with SDC 3 3-400
D Existing Easements Clearly Identified with Their Recorded Reference
D New Easements and Reserve Stnps Referenced in Owner Certificates of
Dedication and Purposes of Easements Identified on Plat
NOTE: When, as part of the approval process, the application has been conditioned so that the
recordation of a document IS required, the applicant shall be responsible for paYing the Lane
County recording fee for any such required document Documents which may require
recordation Include, but are not limited to Development Agreements, Improvement
Agreements, Deed Restnctlons, Future Development Plans, Easements, JOint Use Access/
Maintenance Agreements, and Dedications of Right-of-Way
Land Division Plat Submittal Requirements Checklist
NOTE If you feel an Item does not apply, please state the reason why and attach the
explanation to this form
[gJ Application Fee - refer to the Development Code Fee Schedule for the appropnate fee
calculation formula A copy of the fee schedule IS available at the Development Services
Department The application, technology, and postage fees, where applicable, are
collected at the time of complete application submittal
[gJ Land Division Plat Application Form
[gJ Two (2) Copies of the Deed
[gJ Two (2) Copies of a Title Report Issued Within 30 days of the date Lane County will
record the plat
[gJ Onginal Plat on Mylar With notanzed owner(s) slgnature(s) and signed surveyor stamp
[gJ Copy of the Mylar on Bond Paper
[gJ Original and Copy of all Required Documents With signatures where appropnate
Date Received
JUN - 6 2008
OnglOsl Submittal ~
Revised 1/1/08 Molly Markarian
6 of 6
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
SUB2008-00026
SUB2008-00026
Payments
Type of Payment
Check
cRecemtl
RECEIPT #:
Description
CTY PartItIOn Plat
+ 5% Technology Fee
PaId By
NA THAN KEEPERS
C' 'If Sprmgfield OffiCIal ReceIpt
D",elopment ServIces Department
PublIc Works Department
3200800000000000384
Date: 06/06/2008
2 55 43PM
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
tJ 2391 In Person
Payment Total
Amount Due
2,599 00
12995
$2,72H 95
Amount Paid
$2,72895
$2,728 95
Date ReceIved
JUN - 6 2008
Onglnal Submittal W
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6/6/2008