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Application APPLICANT 10/30/2020
City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 Annexation Application Type IV 3 SP�NINOFIaD * lApplication Type (Applicant: Check one) Annexation Application Pre -Submittal: Annexation A lication Submittal: ❑ ProposalRequired Property Owner: Jasper Road, T1.0 Phone: 1 :7 3.5111 Address: 520 Conger St Eugene, OR 97402 Fax: E-mail: wtW�ev.B,iA Owner Signature: Owner Signature: Agent Name: Jed Truett/Metro Planning, Inc. Phone 541-302-983D Company: Fax: Address: 846 A Street Springfield, OR 97477 E-mail ;ed@metroplannin Agent Signature: If the applicant Is otherthan the o ne , the owner hereby grants permission for the applicant to act in his or her behalf, except where signatures of the owner of re are required, only the owner may sign the petition. ASSESSOR'S MAP NO: 16-02-05-24 1 TAX LOT NOS : 6711/6800 Property Address: 4362 a 4380 Jasper Rd Area of Request: I Acres: 1.78 1 Square Feet: Existing Use(s) single family residential of Property: Proposed Use single family residential of Property: Required Property Information (City Intake Staff., Complete This Section) Case No.: Date: Reviewed By: initials Application Fee: Postage Fee: Total Fee: Revised 4/8/14 B] Page 8 of 17 con 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. 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 timelins, informatio�t, requests and requirements conveyed to my representative. Date: ClI812020 Signifiture Submittal 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. Owner: Date: Signature Print 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. 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: Owner: Date: signature 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: q 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(B)(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(B)(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 TORS 222.170(1)1 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 isoc 5.7a25(B)(5)1 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 Isoc 5.7-125(B)(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) E 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 BJ Page 10 of 17 ❑ Annexation Description [SDC 5.7-125(8)(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(13)(10)7 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'/2 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 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(13)(12)7 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)7 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 4/8/14 133 Page 11 of 17 x S in A N Z 3 N o �nm N n 0 _ 3 m w m ii, p O N i N froU N � N � N D 0 m 0n Y Y 3v N Yn P N P V 1 px o0 H y r r z OC � 03 YP o� 0 'mn a n v H O O V D z X m X � N T v� O PAZ Vl p Z in a Z Na -I C C Y d X c v m N m i $\ \ {/ \Ng© \\}) yea !;}; : k/§ !!!! ) f/ §' � \[! *« \ | \; { | ! {f| ! ; &\ , ®# !!� ! \(� k }§\ } { � ) / � | ) ( \\ $\ \ {/ f/ §' � \[! \ \ \| \ {f| , ®# $\ \ {/ a A F+ A W v N lD r W O F+ V 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 670p Jasper Rd, LLC ,89 $167,467 x x $345,797 18-02-05-24 TL 68CO JasPer .89 $178,330 x x TOTALS: 1.78 $345.797 TOTAL NUMBER OF OWNERS IN THE PROPOSAL 2 NUMBER OF OWNERS WHO SIGNED 2 PERCENTAGE OF OWNERS WHO SIGNED 1008 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 33 14 of 17 FORM 3 SUPPLEMENTAL INFORMATION FORM (Complete a// 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: Sed Truett/Metro Planning, Inc. j edemetroplanninq. 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): LDR • 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 atter annexation will not c ange. • 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 x 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 Ci 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) (Address) Springfield, OR 97477 (City) (Zip) (City) (Zip) (Name) (Name) (Address) (Address) (City) (Zip) (City) (ZIP) Revised 4/8/14 BI 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 4362 Jasper Road Map and Tax Lot Number Street Address of Property (if address has been assigned) 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 Leaal Owners Please print or type name Si nature Date Signed Jasper Road, LLC a 19, LNG:L:IBg388HB2HANCE IRANSPIONWCWURON fOBME154RMGgE[Op0-03-88 UPoq]EONHMSIfHF-SVHMln ANNEXgIIONgp%tGIIONIe-eJ-eH.pOC La49vep: Hnuary19�S016 Revised 4/8/14 B) Page 17 of 17 'Northwest REGISTERED PROFESSIONAL LAND SURVEYOR 1815 NW 169" Place, Suite 2090 Beaverton, OR 97006 Telephone: 503-848-2127 14- (wall CUNTON H. STUBBS JR. Annexation Description RENEWS: October 1, 2020 NWS Project Number 1824 Page 1 of I A tract of land located in the northwest one-quarter of Section 5, Township 18 South, Range 2 West, Willamette Meridian, City of Springfield, Lane County, Oregon, and being more particularly described as follows: Beginning at a 5/8 inch iron rod located at the southwest comer of Lot 4 of"Lucerne Meadows"; Thence along the southerly extension of the west line of said Lot 4 and continuing along the west line of Lot 1 of "Lucerne Meadows" and the southerly extension thereof, South 00008"00" East 179.85 feet to a point on the northerly right-of-way line of Jasper Road (30.00 feet northerly of the centerline thereof, when measured at right angles); Thence along the northerly right-of-way line of said Jasper Road, North 89°10'31" West 216-62 feet to the southeast comer of that property conveyed to Pablo Duarte Garcia and Evelia Servin De Duarte by a deed recorded on June 25, 2020 as Document Number 2020-032548, Lane County Deed Records; Thence along the east line of said Garcia and Duarte property, North 00008"00" West 357.98 feet to the northeast comer thereof, said point also being on the south line of that property conveyed to Donald M. Cole and Lod L. Cole by a deed recorded on November 8, 1990 as Document Number 90-053942, Lane County Deed Records; Thence along the south line of said Cole property, South 89019'45" East 216.62 feet to the southeast comer thereof, said point also being on the west line of Lot 6 of "Lucerne Meadows'; Thence along the west line of said Lot 6 and continuing along the west line of said Lot 4, South 00008'00" East 178.71 feet to the Point of Beginning. The above described tract of land contains 1.78 acres, more or less. The basis of bearings for this description is west line of "Lucerne Meadows" per the recorded plat thereof. ANNEXATION EXHIBIT MAP PROREGISTERED FESSIONAL LOCATED IN THE NW 1/4 OF SECTION 5, LAND SURVEYOR TOWNSHIP 18 SOUTH, RANGE 2 WEST, W.M., CITY OF SPRINGFIELD, LANE COUNTY, OREGON TAX LOT 6100 OREGON JANUARY 15, 20 MAP 18-02-05-24 TAX LOT 4400 Cl1NTON H. STUBBS JR. DOC. N0, 90-053942 MAP 18-02-05-24 55469LS OWNER: DONALD M. COLE i RENEWS: 06/30/22 AND LORI L. COLE in TAX LOT 4500 58919'45"E 216.62' o LOT 6 MAP 18-02-05-24 I ANNEXATION BOUNDARY06 LOT 5 i TAX LOT 4600 ANNEXATION AREA o w 1 1 MAP 18-02-05-24 o M 1.78 ACRESQ LOT 3 �N NOS 3 ON ON `; LOT4 ~ g POINT OF BEGINNING 1 8ww z o a w LOT 1 A TAX LOT 4800 ANNEXATION o MAP 18 -02 -OS -24 BOUNDARY o N8910'31"W 216.62' _ - CENTERLINE -1. JASPER ROAD COUNTY ROAD NO 2273 (HWY 222) SCALE 1" = 100 FEET Brom PREPARED FOR: JOB NAME: SPRINGFIELD JOB NUMBER: 2142 MASTER DEVELOPMENT, LLC NORTHWEST 1815 NW 169th PLACE, 760 CONGER STREET SUITE 2090 BEAVERTON. OR 97006 SUITE 1 DRAWING NUMBER:2142 ANNEX PHONE: 503-848-2127 DRAWN BY: BJA EUGENE, OR 97402 SURVEYING Inc. `^X:503-846 , nwsurveyingOnwsrvy.crvycom ANNEXATION EXHIBIT MAP PROREGISTERED FESSIONAL LOCATED IN THE NW 1/4 OF SECTION 5, LAND SURVEYOR TOWNSHIP 18 SOUTH, RANGE 2 NEST, W.M., /G f CITY OF SPRINGFIELD, LANE COUNTY, OREGON /' 'j; 4 TAX LOT 6100I I OREGON X MAP 18-02-05-24 aANwRY 15, 20 TAX LOT 4400 CLINTON H. TUBBS JR. DOC. NO. 90-053942 MAP 18-02-05-24 OWNER: DONALD M. COLE RENEWS: 06/30/22 AND LORI L. COLE LOTI S8919'45'E 216.62' o LOT 6 MAPA18-02-�O24 I o ANNEXATION -- f ---'�i BOUNDARY ,t W LOT 5 < w ryo T 4600 ANNEXATION AREA MAP 18-02-05-24 TAX 2.78 p.ORES Q J LOT 3 \�— rN N�S "•' LOT p PGIN_T Or 8E INING� ------ x� x� _ LOT 1 I i 8I $ ANNEXATIONTAX LOT 480D - BOUNDARY o MAP 18-02-05-24 -,wj N891O'31"W 216.67 ,! � _ - - - — - CENTERLINE ,, JASPER ROAD COUNTY ROAD NO 2273 (HWY 222) T- -�-7--7---i 1 r- f SCALE 1" = 100 FEET ssso PREPARED FOR: JOB NAME: SPRINGFIELD MASTER DEVELOPMENT, LLC JOB NUMBER: 2142 NORTHWEST 1815 NW 169th PLACE, 760 CONGER STREET SUITE 2090 SUITE 1 DRAWING NUMBER:2142 ANNEX BEAVERTON, OR 97006 EUGENE, OR 97402 PHONE 503-848-2127 DRAWN BY: BJA SURVEYING, Inc nwFA%.SO3-848-2179 eurveyingftwarvy.can