HomeMy WebLinkAboutApplication APPLICANT 8/8/2019City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
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Annexation Application Type IV
SPR INGFIELD
Annexation A lication Pre -Submittal:
Annexation Application Submittal: ❑
Property Owner: Bruce Wiechert Custom Homes, Inc. Phone: 541-686-9458
Address: 3073 Skyview Ln., Eugene 97405 Fax:
E-mail:
Owner Signature:
Owner Signature:
Age . nt Name:
Anthony J. Favreau
Phone
541.683.7048
Company:
The Favreau Group, LLC
Fax:
Address:
3750 Norwich Ave., Eugene, Or 97408
E-mail
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.
ASSESSOR'S MAP NO:
18-02-06-14
TAX LOT NOS
7000 & 7100
Property Address:
Area of Request;
I Acres:
square Feet: 15,604
Existing Use(s)
Vacant
of Property:
Proposed Use
Residential
of Property:
ff 099 {_ Reviewed By: l
Case No.. I I � i�ate:
initials
Application Fee:
7
Postage Fee: r' Total Fee:
Revised 4/8/14 B]
Date Recti-1ve
Page &ii lj'g17 7 2019
Origainal Submitl-3a Mr--