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HomeMy WebLinkAboutApplication APPLICANT 9/28/2021City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 Minimum Development Standards (Minor) Required Project Information (Applicant. complete Applicant Name: Charlie McClain Phone: this section) 541-221-1861 Company: McClain Construction LLC E-mail: -::ariieamcclaiaconstru Address: P.O. Box 51282 Eugene Oregon 97405 Applicant's Rep.: Same as above Phone: Company: E-mail: Address: Pro ert Owner: Eugene Welding Supply Phone: 541-228-6549 Company: Industrial Source E-mail: Address: 3500 Commercial Ave. Springfield Oregon 97478 ASSESSOR'S MAP NO: 17-02-31-21 TAX LOT NOS : 02700&02 00 Pro er Address: 3500 Commercial Ave. Springfield Orego 97478 Size of Pro ert : 184,924 AcresSquare Feet Description of if you are filling In this form by hand, please attach your proposal description to Pro osal: Include roduct divider bunkers located on thE this application. South West site Existin Use: Office, c linder filling H-3, retail Si natures: Please si nand tint our name and date in the aDpropriate b c Associated Cases: x on the next a e. Case No.: �`�11-Z�'Ona US's --rya Date: ._7J Revie d b Application Fee:$ 400.00 Technical Fee: Ste- 01) Post a Fee: 0 TOTAL FEES: 1i5- . Ci PROJECT NUMBER: Revised 5/21/13 KL i of com Signatures The undersigned acknowledges that the information in this application is correct and accurate. Charlie McClain LW;Date: Signature Charlie McClain the owner hereby grants permission for the applicant to ad in his/her behalf. Date: baii—lcP kale, Print 1 certify that I prepared the attached plot plan and that it contains the information specified In the submittal requirements checklist. I certify that the plot plan is accurate based upon field locates and the best available information. I understand that City staff will rely upon the plot plan in making any decisions regarding the Minimum Development Standards application. 1 accept full responsibility and liability In the event that there are any omissions, mistakes, or inaccuracies in the plot plan. Plot Plan Preparation; P Charlie McClain -1,- .,.'-". �m "�"" Date: Plot Plan Preparer Signaturem Charlie McClain Print Revised 5/21/13 KL 2 of 6