HomeMy WebLinkAboutAddressing Assignment 2003-06-19'I
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SPSIIE'GFIELD
D E V E !-O P tul E N f SFF yrCf S r5&-P"ri F lir'fl E& i
Springfi eld Police Department
Springfield Fire Department
U.S. Post Office
U.S. West Communications
Northwest Natural Gas
TCI Cable
United Parcel Service
225 FIFTH SIfrEEJ-
SPRINGFIELD, OR 97477
(541) 726-3753
FAX i541) 726-3€Eg
June 19,2003
Dean & Karen Burkhart
1616 Haskell Street
Burlington,IA 52601
RE: Address Change
Dear Mr. and Mrs. Burkhart:
At your request, your properfy commonly known as 1240 Delrose Drive, Springfield, Oregon, also known
as Lane County Reference Number 17032344, Tax Lot Number 09400 has been changed. Your new
address is 1244 Delrose Drive, Springfield, Oregon.
I will notifr the following companies and/or agencies of this change by sending them a copy of this letter:
Springfield Utility B oard
Lane Council of Govemments
911 Dispatch, Public Safety
Lane County Elections Departrnent
Sanipac
Rainbow Water Diskict
Springfreld News/Re gister Guard
The lot is currently vacant and this change will take immediately. If you have any questions, please feel
free to phone me at726-3790.
Sincerely,
Lisa Hopper
Building Safety Supervisor
SPFtINGFIELD
225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 . FAX: (541)726-3689
Property Owner:
ADDRESS CHANCE REQUEST
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Mailing Address:t|t C t-{ t: rELL Sr
City:-o+J State: I A zip:S24ol
Person or Agency requesting change if other than owner:
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Phone number where you can be
contacted between 1:Oopm and 5:OOpm:
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Address of fiy you are ng to be changed:
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Assessor Map #:\ol Tax Lot #:
Please explain specifically why you feel the address needs to be changed:
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Proposed Address:lL++\=L rLos E \
Signature:e_R ^uu-=*-
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Date: 5 3o 2io
Reference Number:
Approved
lf approved,
Reviewed By:
Denied
Date:
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address is:
Shared Drive(T):/Building Request I l{2.doc
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1 record(s) selected. Record numbes 1 - 1 are displayed belouu.
Please ctick the (o to the right of a record to view a detailed
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