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HomeMy WebLinkAboutApplication APPLICANT 7/31/2020City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 Development Issues Meeting (DIM) SPRINGFIELD wok Required Project Information (Applicant: Prospective Applicant Name: Rick Nelson complete this section) Phone: 541-746-0303 Company: Nelson Brothers Trucking Fax: Address: 3112 Industrial Avenue, Springfield, OR 97477 Prospective Applicant's Rep.: Mikael Shields P.E. Phone: 541-338-9488 x1008 Company: Johnson Broderick Engineering Fax: 541-338-9483 Address: 325 W. 13th Avenue, Eugene, OR 97401 Property Owner: Rick Nelson Phone: 541-746-0303 Company: Nelson Brothers Trucking Fax: Address: 3112 Industrial Avenue, Springfield, OR 97477 ASSESSOR'S MAP NO: 18-02-06-00 ITAX LOT NO 5 : 1003 Property Address: 701 S. 28th Street, Springfield, OR 97478 Size of Property; 5.01 Acres ® Square Feet ❑ Description of if you are filling in this form by hand, please attach your proposal description to this application. Proposal: See attached Existing Use: Trucking Office and Maintenance Facility # of Lots/Parcels: 1 lAvg. Lot/Parcel Size: N/A sf Density: N/A du acre Prospective Applicant: Signature Print Case No.: Date: -y Date: T Reviewed b Application Fee: Technical Fee: 0 Posta a Fee: 0 TOTAL FEES: PR03ECT NUMBER: Revised 5/21/13 KL 1 of 3