HomeMy WebLinkAboutApplication APPLICANT 9/9/2020City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
Annexation Application Type IV
3 SPNINOFIELD
Application Type (Applicant., Check one)
Annexation Application Pre -Submittal:
Annexation A lication Submittal: ❑
ProposalRequired ..
Property Owner: Jasper Road, LLC Phone: 541.-743,6111
Address: 520 Conger St Eugene, OR 97902
Fax:
E-mail: h1U1�2uEL0
Owner Signature:
Owner Signature:
Agent Name:
Jed Truett/Metro Planning, Inc.
Phone
1591-302-9830
Company:
Fax:
Address:
896 A Street Springfield, OR 97977
E-mail
]ed@metroplannin
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:
le -o2 -os -2a
TAX LOT NOS :
1 6700/6800
Property Address:
9362 & 9380 Jasper Rd
Area of Re uest:
Acres: 1.78
S uare Feet:
Existing Use(s) single family residential
of Property:
Proposed Use single family residential
of Property:
PropertyRequired
Case No.: Date: Reviewed By:
initials
Application Fee:
Postage Fee: ITotal Fee:
Revised 4/8/14 B] Page 8 of 17
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Owner Signatures
This application form is used for both the required pre -submittal meeting and subsequent
complete application submittal. Owner signatures are required at both stages in the application
process.
An application without the Owner's original signature will not be accepted.
Pre -Submittal
The undersigned acknowledges that the information in this application is correct and
accurate for scheduling of the Pre- Submittal Meeting. If the applicant is not the
owner, the owner hereby grants permission for the applicant to act in his/her behalf.
I/we do hereby acknowledge that I/we are legally responsible for all statutory
timelin s, informatiop, requests and requirements conveyed to my representative.
Owner: ��_
Date: *12M
Sig ture
Owner:
(Naskly,
I represent this application to be complete for submittal to the City. Consistent with the completeness check
performed on this application at the Pre -Submittal Meeting, I affirm the information identified by the City as
necessary for processing the application is provided herein or the information will not be provided if not otherwise
contained within the submittal, and the City may begin processing the application with the information as
submitted. This statement serves as written notice pursuant to the requirements of ORS 22].1]8 pertaining to a
complete application.
nt
Date:
Revised 4/8/14 BJ Page 9 of 17
Owner Signatures
This application form is used for both the required pre -submittal meeting and subsequent
complete application submittal. Owner signatures are required at both stages in the application
process.
An application without the Owner's original signature will not be accepted.
Pre -Submittal
The undersigned acknowledges that the information in this application is correct and
accurate for scheduling of the Pre- Submittal Meeting. If the applicant is not the
owner, the owner hereby grants permission for the applicant to act in his/her behalf.
I/we do hereby acknowledge that I/we are legally responsible for all statutory
timelines, information, requests and requirements conveyed to my representative.
Owner:
Date:
Signature
Print
Owner:
I represent this application to be complete for submittal to the City. Consistent with the completeness check
performed on this application at the Pre -Submittal Meeting, I affirm the information identified by the City as
necessary for processing the application is provided herein or the information will not be provided if not otherwise
contained within the submittal, and the City may begin processing the application with the information as
submitted. This statement serves as written notice pursuant to the requirements of ORS 227.178 pertaining to a
complete application.
Date: 'I
Revised 4/8/14 BI Page 9 of 17
APPLICANTS SHOULD COMPLETE THE FOLLOWING STEPS PRIOR TO SUBMITTING AN
APPLICATION. APPLICATIONS NOT HAVING ALL BOXES CHECKED WILL BE RETURNED
TO THE APPLICANT AND WILL THEREFORE DELAY THE APPLICATION REVIEW
PROCESS.
❑ Application Fee [SDC 5.7-125(6)(15)]
Refer to the Development Code Fee Schedule for the appropriate fee calculation formula. Fees
are based upon the area of land being annexed. Copies of the fee schedule are available at the
Development & Public Works Department. Fees are payable to the City of Springfield.
❑ Petition/Petition Signature Sheet [SDC 5.7-125(6)(2)]
To initiate an annexation by consents from property owners as explained below, complete the
attached Petition Signature Sheet (refer to Form 1). (Photocopies may be submitted @ Pre -
Submittal, with original copies @ time of application submittal).
Consent by Property Owners [ORS 222 17007
If the proposal is to be initiated by the owners of at least one-half of the land area, land
value, and land ownership, complete Form 2. To give consent for a particular piece of
property, persons who own an interest in the property, or who are purchasers of property
on a contract sale that is recorded with the county, must sign the annexation petition.
Generally, this means that both husband and wife should sign. In the case of a corporation
or business, the person who is authorized to sign legal documents for the firm may sign the
annexation petition. Please provide evidence of such authorization. To ensure that the
necessary signatures are obtained, please complete the attached worksheet (Form 2).
(Photocopies may be submitted @ Pre -Submittal, with original copies @ time of
application submittal).
❑ Certification of Ownership [SDC 5.7-125(B)(5)]
After completing the attached Petition Signature Sheet (Form 1), have the Lane County
Department of Assessment and Taxation certify the ownerships within the proposed annexation
area. (Photocopies may be submitted @ Pre -Submittal, with original copies @ time of
application submittal).
❑ Owners Worksheet
Information on the Petition Signature Sheet can also be found on Form 2, Owners and Electors
Worksheet. (Photocopies may be submitted @ Pre -Submittal, with original copies @
time of application submittal).
❑ Supplemental Information Form [SDC 5.7-125(6)(1) and (11)]
Form 3 (attached) provides additional information for the proposed annexation that is not
requested on the Annexation Application Type IV form, such as special districts that currently
provide services to the proposed annexation area. (Photocopies may be submitted @ Pre -
Submittal, with original copies @ time of application submittal).
❑ Copy of the Deed (required at application submittal)
❑ Copy of Preliminary Title Report (required at application submittal)
Title Report has to be issued within the past 30 days documenting ownership and listing all
encumbrances.
Revised 4/8/14 133 Page 10 of 17
❑ Annexation Description [SDC 5.7-125(B)(9)]
A metes and bounds legal description of the territory to be annexed or withdrawn must be
submitted electronically in Microsoft Word or a compatible software program. A legal description
shall consist of a series of courses in which the first course shall start at a point of beginning.
Each course shall be identified by bearings and distances and, when available, refer to deed
lines, deed corners and other monuments. A lot, block and subdivision description may be
substituted for the metes and bounds description if the area is platted. The Oregon Department
of Revenue has the authority to approve or disapprove a legal description. A professionally
stamped legal description does not ensure Department of Revenue approval.
❑ Cadastral Map [SDC 5.7-125(B)(10)]
Three (3) full-size paper copies and one (1) digital copy (in .pdf format) of the Lane County
Assessor's tax map that shows the proposed annexation area in relationship to the existing city
limits. If Digital Copy (in.pdf format) is not available, Nine (9) full-size paper copies and one (1)
reduced size redline map at 8'/z x 11 are required. Paper copy maps must be printed to scale.
On all submitted maps the annexation area shall be outlined in redline with survey courses and
bearings labeled for cross-reference with the metes and bounds legal description. If the
annexation area extends across more than one tax map, sufficient copies of each affected tax
map must be provided. Please be aware that annexation redline closures must avoid creating
gaps or overlaps, and may not necessarily correspond with the property legal description.
Cadastral maps can be obtained from the Lane County Assessment and Taxation Office.
❑ ORS 222.173 Waiver Form [SDC 5.7-125(B)(8)]
Complete the attached waiver (Form 4). The waiver should be signed by each owner within the
proposed annexation area.
❑ Public/Private Utility Plan [SDC 5.7-125(6)(12)]
A plan describing how the proposed annexation area can be served by key facilities and services
must be provided with the Annexation Agreement. Planning and public works staff will work with
the applicant to complete the Annexation Agreement.
❑ Written Narrative addressing approval criteria as specified below. All annexation requests
must be accompanied with a narrative providing an explanation and justification of response with
the criteria stated in the application (also stated below). [SDC 5.7-125(B)(13) and (14)]
A. The affected territory proposed to be annexed is within the City's portions of the urban
growth boundary and is contiguous to the city limits or separated from the City limits
only by a public right-of-way or a stream lake or other body of water;
B. The proposed annexation is consistent with applicable policies in the Metro Plan and in
any applicable refinement plan or Plan Districts;
C. The proposed annexation will result in a boundary in which the minimum level of key
urban facilities and services as defined in the Metro Plan can be provided in an orderly
efficient and timely manner; and
D. Where applicable fiscal impacts to the City have been mitigated through a signed
Annexation Agreement or other mechanism approved by the City Council.
❑Three (3) copies of the previously required information.
ALL PLANS AND ATTACHMENTS MUST BE FOLDED TO 81/2" BY 11" AND BOUND BY
RUBBER BANDS.
Revised 4/8/14 BI Page 11 of 17
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FORM 2
OWNERSHIP WORKSHEET
(This form is NOT the petition)
(Please include the name and address of ALL owners regardless of whether they
signed an annexation petition or not.
OWNERS
Property Designation
(Map/lot number)
Name of Owner
Acres
Assessed
Value
Imp.
Y / N
Signed
Yes
Signed
No
18-02-05-24 TL 67011
Jasper Rd, LLC
.89
$167,467
x
x
$345,797
18-02-05-24 TL 68CO
jasper Ed, LLC
.89
$178,330
x
z
TOTALS:
1.78
$345.797
TOTAL NUMBER OF OWNERS IN THE PROPOSAL
2
NUMBER OF OWNERS WHO SIGNED
2
PERCENTAGE OF OWNERS WHO SIGNED
100%
TOTAL ACREAGE IN PROPOSAL
1.78 ac
ACREAGE SIGNED FOR
1.78 ac
PERCENTAGE OF ACREAGE SIGNED FOR
100%
TOTAL VALUE IN THE PROPOSAL
$345,797
VALUE CONSENTED FOR
$345,797
PERCENTAGE OF VALUE CONSENTED FOR
100%
Revised 4/8/14 133 14 of 17
FORM 3
SUPPLEMENTAL INFORMATION FORM
(Complete all the following questions and provide all the requested information. Attach
any responses that require additional space, restating the question or request for
information on additional sheets.)
Contact Person:
E-mail:
Jed Truett/Metro Planning, Inc.
jed@metroplanning.com
Supply the following information regarding the annexation area.
• Estimated Population (at present): 6
• Number of Existing Residential Units: 2
• Other Uses: farming
• Land Area: 1.78 total acres
• Existing Plan Designation(s): low density residential
• Existing Zoning(s): LOR
• Existing Land Use(s): residential
• Applicable Comprehensive Plan (S): Eugene -Springfield Metro Plan
• Applicable Refinement Plan(s):
• Provide evidence that the annexation is consistent with the applicable
comprehensive plan(s) and any associated refinement plans.
both the comprehensive plan and the zoning are consistent with one another. Zoning
after annexation will not change.
• Are there development plans associated with this proposed annexation?
Yes x No
If yes, describe.
there is a concurrent property line adjustment application and
potential future subdivision application
• Is the proposed use or development allowed on the property under the current
plan designation and zoning?
Yes x No
• Please describe where the proposed annexation is contiguous to the city limits
(non-contiguous annexations cannot be approved under 5.7-140, Criteria).
property adjacent to the east of the subject properties is annexed
Revised 4/8/14 BI Page 15 of 17
Does this application include all contiguous property under the same ownership?
Yes No
If no, state the reasons why all property is not included:
• Check
the special districts and others that
provide service to the annexation
area:
❑
Glenwood Water District
❑
Rainbow Water and Fire District
❑
Eugene School District
❑
Pleasant Hill School District
®
Springfield School District
❑
McKenzie Fire & Rescue
❑
Pleasant Hill RFPD
®
Willakenzie RFPD
❑
EPUD
13
SUB
❑
Willamalane Parks and Rec District
❑
Other
• Names of persons to whom staff notes and notices should be sent, in addition to
applicant(s), such as an agent or legal representative.
Sed Truett/Metro Planning, Inc
(Name) (Name)
846 A Street
(Address)
Springfield, OR 97477
(City) (zip)
(Name)
(Address)
(City) (ZIP)
(Address)
(City) (Zip)
(Name)
(Address)
(City) (Zip)
Revised 4/8/14 BJ Page 16 of 17
FORM 4
WAIVER OF ONE YEAR TIME LIMIT
FOR ANNEXATION PURSUANT TO ORS 222.173
This waiver of the time limit is for the following described property:
18-02-05-24 TL 6700
Map and Tax Lot Number
assigned)
4362 Jasper Road
Street Address of Property (if address has been
ONE WAIVER OF TIME LIMIT FOR EACH PARCEL, PLEASE
We, the owner(s) of the property described above understand the
annexation process can take more than one year but desire to annex to have
City services. Therefore, we agree to waive the one-year time limitation on
this petition to annex established by Oregon Revised Statutes 222.173, and
further agree that this contract shall be effective [ ] indefinitely or [ ] until
Date
Siqnatures of Leqal Owners
Please
print or type name
Si
nature
Date Signed
Jasper
Road, LLC
15 2bx
I.. IWe.8 BWNGIPNGE iFANSPIONIPfVYC4IION
Revised 4/8/14 BJ Page 17 of 17