HomeMy WebLinkAboutApplication APPLICANT 3/8/2022City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
Annexation Application Type IV
3 SPRINGFIELD
WrA
Application Type
l(ApPlicatit: Check one)
Annexation Application Pre -Submittal: ❑
Annexation ADDlication Submittal: V1
Pro ert Owner: diehard M. Sorensen
Phone: 541-207-8641
Address: 27144 irish Bend Coop, Halsey, Or 97348
Fax:
elaine9734800gmail.com
E-mail:
Owner Signature:
Owner Signature:
.
A Ent Name:
Elaine Sorensen-
Phone
541-915-4418
Com an
Fax:
Address:
&acne
E-mail
Agent Signature:
` o.La"t
ft p isert thl 11, e' el reby an41he a
a natures %C. are reguir n o er ma si n t....
Y 9 P
'ct m is or [ beef, t
r -
ASSESSOR'S MAP NO: 12,111 f" �; t'+� 7i TAX LOT NOS 170800
Pro ert Address:
5423 Mt Verrron Road. Springfield, OR 97478
Area of Re uest:
Acres:0.41
Square Feet 17,860
._ ...
Existing Use(s)
Residential-
Property:
of
Proposed Use
Residential
of Property:
Case No.: 811-22-000061-TYP4
Date: 03/08/22
Reviewed e Y:
initials
Application Fee: 3857.96 Postage Fee: 658
Total Fee: IF709.65
Revised 4/8/14 133 Page 8 of 17
Owner Signatures
This application form is used for both the required pre -submittal meeting and subsequent
complete application submittal. Own 9r 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 th Pre- Submittal Meeting. If the applicant is not the
owner, the owner hereby gr nts permission for the applicant to act in his/her behalf.
I/we do hereby acknowledge that I/we are legally responsible for all statutory
Owner: timelines, information, requests and requirements conveyed to my representative.
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 PrelSubmittal Meeting, I affirm the information identified by the City as
necessary for processing the application is provided herein or theinformation will not be provided if not otherwise
contained within the submittal, and the ity may begin processing the application with the information as
submitted. This statement serves as w den notice pursuant to the requirements of ORS 227.178 pertaining to a
complete application.
3/05/2022
Richard M. So
Revised 4/8/14 BI Page 9 of 17
February 14, 2021
Written Narrative regarding
Application for Annexation
5423 Mt. Vernon Road, Springfield, Oregon 97478
Thank you for considering this application for annexation to the City of Springfield. This small
single family residential home was built in 1958 and has been continuously used as a residence
since that time. We purchased this as a rental property in 2007 and have continued with the
same tenant as was residing in the property at that time.
This winter we have had problems with the septic system overflowing. We had it pumped
twice within about 10 day period because the ground water was overwhelming the system.
The tank is 500 gallons and Best Septic reports that the baffle is no longer in place. It appears
to be the original tank. Due to the unmanageable situation, the tenant used a Buck toilet
during the balance of the high water this winter. We hope to avoid these issues in the future.
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 separated only by a public right of
way. Sea Attached map, Exhibit A
S. As a single residential family home in an area of developing residential homes, this
proposed annexation is consistent with applicable policies in the metro plan and 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 and timely
manmec In addition to subdivisions of newer homes in the near vicinity, this was ver'l at
the DIM meeting as quoted " FIRE/SAFFf1I: Property is only 5 min response time away
from the nearest fire station and existing hydrant is sufficient. - Property owners can
contact SUB Water and Electric Divisions when ready to conned."
i Where applicable fiscal impacts to the city have been mitigated through a signed
annexation agreement or other mechanism approved by the city council. Addressed in
annexation agreement.
ApplkZitOn K: C SP M9 -
fbrcity lhe (>nry
FORM 1
PErMON/PEI I ON SIGNATURE SHEET
Annexation by Individuals
[sic sa-txs{z}(b)p)(or s 222.170(1)]
REM VkL.
FB092M
Lane Counry
Assessment & Taxeuoa
We, the following property owners of the following terrRory, consent to the annexation to the City of Springfield and concurrent
annexation to Lane County Metropolitan Wastewater Service District and Wiliamalane parks and Recreation DFstrict, as deemed
necessary:
Signature
oate
s>
Print Name
Residence Address
(soeet, co, zip code)
Min and lax lot Number
(example: 17-0a 03 -00 -[Mix)
uira
owner
Aaes
(eN)
Vt.aen
C,1V r✓z
��().4- Yr1l UD Yna
z
a
a
9.
Note: w¢n the aEo+e sgnatu+els), t am attartinp0ree s nava me awnwiry to wrrsent to annesablen on my rnrn betaiF or on be1wHM n+y s,m a ageKv. lAmedr evldexe NsvM
eithn+zatbn when apyrlca6le.J
51 hdalm.Q.QMZP (pdpted name of circulator), hereby certify that every person who signed this sheet did so in my presence.
% 'a.L (slynature Of awator)
CERTIFICATION OF OWNERSHIP
The total landowners In the proposed annexation are —L_-- (qty). This petition reflects that Y (qty) landowners (or fogal representatives)
listed on this petition represent a total of /00 r%) of the landowners and A00 (%; of the acres as determined by the map and tax lots attached
to the�pe�titiiion.n/. Al&T Jss not
reesppansi�ble ffo'rwbsequent deed activity that may not yet be reflected on the AdT owrrputerfzed tax roll.
lane county eparttnetrt of Assessment and Taxation
a M Z6)Zz
nate Signed and Certified
lui i daelta 23 tza17
FORM 2
OWNERSHIP WORKSHEET
(This form is NOT the petitiori)
(Please include the name and address of ALL owners regardless of whether they
signed an annexation petition or not.
OWNERS
Property Designation
(HapXt number)
Name of Owner
Acres
Assessed
Valve
Imp.
YIN
Signed
Yes
Signed
No
r8-oamv-y�,-Qo8o0
,cha.cf or+ns
O.c
�va.GG
✓
VALUE CONSENTED FOR
PERCENTAGE OF VALUE CONSENTED FOR
QCj
TOTALS:
04
TOTAL NUMBER OF OWNERS IN THE PROPOSAL
NUMBER OF OWNERS WHO SIGNED
PERCENTAGE OF OWNERS WHO SIGNED
/047
TOTAL ACREAGE IN PROPOSAL
Q , S. /
ACREAGE SIGNED FOR
0 1//
PERCENTAGE OF ACREAGE SIGNED FOR
TOTAL VALUE IN THE PROPOSAL
VALUE CONSENTED FOR
PERCENTAGE OF VALUE CONSENTED FOR
QCj
iRevimd 4/9/14 e] 14 of 17
FORM 3
SUPPLEMENTAL INFORMATION FORM
(Complete all the fol/owing 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: 'A.t` S a r -t h .P4
E-mail VrO
Supply the following information regarding the annexation area.
• Estimated Population (at present):,
• Number of Existing Residential Units:
• Other Uses:
• Land Area: ij -d'Srz total acres
• Existing Plan Designation(s): S'iat,,><"
• Existing Zoning(s): (10-
• Existing Land Use(s): V.,e S 1,0"4'a/
• Applicable Comprehensive Plan(s):
• App€Stable Refinement Plan(s):
• Provide evidence that the
annexation is consistent with the applicable
comprehensive plan(s) and any associated refinement plans.
• Are there development plans associated with this proposed annexation?
Yes No
If yes, describe.
• Is the proposed use or development allowed on the property under the current
plan designation and zoning?
Yes ✓ No
• Please describe where the proposed annexation is contiguous to the city limits
(non-contiguous annexations cannot be approved under 5.7-140, Criteria).
Revised 4/8/14 B] Page 15 of 17
Does this application include all contiguous property under the same ownership?
Yes 7 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
U( Springfield School District ❑ McKenzie Fire & Rescue
❑ Pleasant Hill RFPD ❑ Wi€lakenzie RFPD
)rEPUD -KSUB
❑ 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.
(Name)
(Address)
(City) (Zip)
(Name)
(Address)
(City) (Zip)
(Name)
(Address)
(city) (ZIP)
(Name)
(Address)
(City) (Zip)
Revised 4/8/14 B] Page 15 of 17
Ar7 >(w I
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:
I?-0.�-0,y-y�1,5�y;l3 ka 111kn'. fid, sppdox 97y7�-
Map and Tax Lot Number Street Address of Property (if address has beer
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 ki indefinitely or [ ] until
Date n
SI natures of Le al Owners
Please print or Woo name
Signature
bate Signed
kcha>d SaYnwSF
a ao�
!c[c.- L.19Clzig9 eammw�:e maxsmdNFNz�arlar ma::s5�:cslxe�iea3w uvsnrza wwi+sivecwwrrru..uvsxArrcarnxrurxnav,o.anoeoa
M! Sarcd: Jenwy l9, t0�6
Revised 418/14 63 Page 17 or 17
U7 -U1-2821 TO 06-30-2022 REAL PROPERTY TAX STATEMENT
LANE COUNTY 125 E. STH AVE. EUGENE, OR 97401 (541) 682-4321
WWW.Paneoounty.org/at
PROPERTY CLASS: 101
TAX CODE AREA: 01938 ACRES:
MAP & TAX LOT: 18-02-04-42100600
SORENSEN RICHARD M
27144 IRISH BEND LOOP
HALSEY, OR 97343
VALUES AS OF 01!01!2021 LAST YEAR THIS YEAR
REAL MARKET VALUE
LAND 109,186 105,245
STRUCTURES 119,138 143,372
TOTAL 226,334 246,617
MS SPECIAL
ASSESSED VALUE 0 0
M5 REAL MKT VALUE 228,334 248,617
ASSES5ED VALUE 138,118 142,261
EXEMPTIONS o D
TAXABLE VALUE 138,118 142,267
MORTGAGE CO: NATIONR MTG LLC ODA MR CO
Ra mortgage Company pays your taxes,
this statement is for your records only
ACcouNr# 05101441
LAST YEAR'S TAX 1.�sD.a3
See hack for explanation of taxes marked with ('}
CURRENT TAX BY DISTRICT
Please make checks payable to:
U Springfield School District
699.27
U Lane Education Service Diet
3175
U Lane Community College
88.07
Education Totals:
780.09
Wlllakenzia RFPD
436.31
U Upper Willamette Soil & Water
9.95
J Lane County
101 se
Lane Gounly Public Safety LC
78.24
Lane County 4-H !Extension LO
3.98
General Government Totals:
710AH
U Lane Community Got" Bond Al
15.59
U Lane Community College Bond II
32.15
Springfield School Dist Bond II
164.37
Bonds - Other Totals:
212.21
TAX PAYMENT OPTIONS
{See back of statement for payment Inetructioney
Pay By Discount Net Amount Due
In Full 11!15!2021 51,08 1,651.70 20212022 TAXES BEFORE DISCOUNT 1,702,78
213 11/15/2021 t,i12.49 TOTAL TAX (After Discount) 1 651.70
T ! 3 11!16 2021 None None 567 Ba ,
n—v PLEASE RETURN 7HI5 PORTION wFTH y0t1R PAVMEN7
T0bl Here--------
TearHera q
Tax Year 2021-2022
Please make checks payable to:
ACCOUNT #: 0561041 II�I1111$1111111HNIIl
Lane County Tax Collector
SORENSEN RICHARD M
PO Box 10526
27144 IRISH BEND LOOP
Eugene, OR 87440.2526
HALSEY, OR 87348
Pay Pay By
Discouni
Discount And Net Amount Due
In Full 11115 12021
3q,
51.08 1,65170
Enter Payment Amount
1 213 1111512021
2%
22.70 1,112.49
§
113 11115!2021
None
Nene 967.60
TOTALS INCLUDE DELINaUENT TAXES, IF ANY. DISCOUNT IS L03T 8 INTEREST APPLIES AFTER DUE DATE.
Illllllillllll�ll�lllllll IIIIIITI� III�I I�Illlnllll� Illlllllil�lillltl I�uil
143902
Please make checks payable to:
Lane County Tax Collector
SORENSEN RICHARD M
PO Box 10526
27144 IRISH BEND LOOP
Eugene, OR 87440.2526
HALSEY, OR 87348
M Mailing address maga on back 20GD0005LlD41nnnn16517DD00011124'iUUUO0567604
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After recording return to:
First American Tide
600 Country Club Std.
Eugene, OR 97401
Untl a change Is requested all lax staaemenls
shall be sent l0 the follomng aadiess:
Richard M. Sorensen j
File No.: 7194-1060380 (SM))
Date: August 06, 2007
DlviblPn of Chief Deputy Clerk ItOn��fICCE1�
Lane Ceunty Daade and Records L U VJJ�l
Mill 1111111111111111IIIIIII IIIIIIIIIIIIIIIII III ;4E 00
80933378200700556168050063 08!012091 0:4141 Pit
RPR -DEED Cnta1 lill CASHIER 01
$25.00 $11.00 510.00
STATUTORY WARRANTY DEED
Vesta Riddle, Grantor, conveys and warrants to Richard M. Sorensen , Grantee, the fallowing
described real property free of liens and encumbrances, except as specifically set forth herein:
See Legal Description attached hereto as Exhibit A and by this reference incorporated hereln.
Subjectta:
1. The 2007-2008 Taxes, a lien not yet payable.
2. Covenants, conditions, restrictions and/or easements, if any, affecting tide, whidr may appear in
the public record, including those shown on any recorded plat or survey.
The true consideration for this conveyance is $111r200,00.
Page 1 cd 3
{Here wn�* with nq�n'.eC Of On$93�03a�
APN, Daalml SlatMry Wm Mn Deed R¢ No, 7194410110aS0(SM°)
owhmed Daae: 03loa1M7
BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT, THE PERSON TRANSFERRING FEE TITLE SHOULD
INQUIRE ABOLIT THE PERSON'S RIGHTS, IF ANY, UNDER ORS 197.352. THIS INSTRUMENT DOES NOT
ALLOW USE OF THE PROPERTY DESCRIBED IN THIS INSTRUMENT IN VIOLATION OF APPLICABLE LAND
USE LAWS AND REGULATIONS. BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT, THE PERSON
ACQUIRING FEE TITLE TO THE PROPERTY SHOULD CHECK WrTH THE APPROPRIATE CITY OR COUNTY
PLANNING DEPARTMENT TO VERIFY APPROVED USES, TO DETERMINE ANY LIMITS ON LAWSUITS
AGAINST FARMING OR FOREST PRACTICES AS DEFINED IN ORS 30.930 AND TO INQUIRE ABOUT THE
RIGHTS OF—'1
NEIGHBORING PROPERTY OWNERS, IF ANY, UNDER ORS 197.352.
Dated tthhlls fIGday of
Vesta Riddle
STATE OF GEN
M. MESA
N xo+G.,°YwnM.752cei211
Countyof ;ss. coW 'Mn.mN
This krstrumevt was acknowledged before me on thl r day of 20 %
by Vesta Riddle.
Notary Public for
My commission expires:
rage 2d 3
APN. 0561041 SIdNWry Welrerdy Deed Pilo No 2194-W80380(SRJ)
- mMineed Oate, 08/'6612007
EXHIBIT A
LEGAL DESCRIPTION:
BEGINNING ATTHE NORTHWEST CORNER OF THE JOHN SMITH DONATION LAND CLAIM NO. 48, IN
SECTION 4, TOWNSHIP 15 SOUTH, RANGE 2 WEST OF THE WILLAMETTE MERIDIAN, THENCE SOUTH
8.00 FEET TO THE CENTER OF COUNTY ROAD AS NOW TRAVELED; THENCE ALONG THE CENTER LINE
OF SAID ROAD SOUTH B50 00' WEST 145.55 FEET TO THE TRUE POINT OF BEGINNING, THENCE
CONTINUING ALONG THE CENTER LINE OF SAID ROAD SOUTH 856 00' WEST 159.61 FEET; THENCE
SOUTH 130.50 FEET; THENCE EAST 159.00 FEET; THENCE NORTH 144.36 fEE -TO THE TRUE POINT
OF BEGINNING, IN LANE COUNTY, OREGON.
EXCEPT THOSE PORTIONS CONVEYED TO LANE COUNTY BY DEED RECORDED MARCH 10, 1961,
RECEPTION NO. 81-10385 AND BY DEED RECORDED JUNE 05, 1998, RECEPTION NO. 98-43477,
OFFICIAL RECORDS OF LANE COUNTY, OREGON.
8
Paye 3of 3
MAP NO. 18-02-04-12-00800
MT VERT
1 7lo
fr 900
&0AC
a =6
5423 MT. VERNON ROAD
INT
RD DLC 47 =fi
Sm
R'a9PG 14 � ea� �I
4 s 9 i
3F �
�I
I
Til i
THIS MAP IS TO ASSIST
LOCATING PROPERTY.
THE COMPANY ASSUMES NO
oFOR INACCURACIES.
rtesy of
r......ena
rgree�tsnarrtl�..nm
1" = 100'
NW COR
J SMITH J
DLC 48
700
9.®SAC fr
i
019-
rl