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HomeMy WebLinkAboutApplication APPLICANT 5/12/2020City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 Time Extension Request Certain improvements & Final Submittals iPRIROMRD o A ,lica nt Name: BruceWiechert _ Company: Bruce W iecherl Custom Homes Inc. Phone: (541)686-9458 F= 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. � \ Date: q L8 Sign. cure Bruce W iechert Print Revised 1/1/08 woby Markanan 2 of 2