HomeMy WebLinkAboutApplication APPLICANT 5/12/2020City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
Time Extension Request
Certain improvements & Final Submittals
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A ,lica nt Name: BruceWiechert _
Company: Bruce W iecherl Custom Homes Inc.
Phone: (541)686-9458
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Address: 3073 Skyview Ln, Eugene, OR 97405
Applicant's Rep.: Scott Morris
Phone: (541)302-9790
Company: A & O Engineering LLC
I Fax:
Address: 380 O Street, Ste 200, Springfield, OR 97477
Property Owner: Same as Applicant
Phone:
Comoal
Fax:
Address:
ASSESSOR'S MAP NO: 18-02-06-24
TAX LOT NOS :
3600,3701,3900
Property Address: 1136 Kintzley Avenue
Tentative Case #: 811-19-000075-TYP2
Reason for it you art ruing In Ibis Porn by hand, please artaw your proposal description to this application.
Time Extension: Pro oct delayed due to pandernic - One Year PIP & Plat Extension Requested
Signatures: Please si nand riot our name and date in thea
Date: 05/12/2020
ro riate box on the next hape,
Reviewed b
Application Fee: $=:::iTechnical
Fee: O
Postage Fee: O
TOTAL FEES: PROJECT NUMBER:
Revised 1/1/08 Molly Markanan 1 of 2
Signatures
The urreersignecl a pwkdges that the information in this application Is correct aix! iia rate.
Applicant:
Date:
Signe
Owner:
If the applican ' bt the owner, the owner hereby grants permission for the applicant to M in he/her behalf.
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Date: q L8
Sign. cure
Bruce W iechert
Print
Revised 1/1/08 woby Markanan 2 of 2