HomeMy WebLinkAboutApplication APPLICANT 4/5/2022City of Springfield
Development & Public Works '
225 Fifth Street G
Springfield, OR 97477
Annexation Development Issues Meeting (DIM)
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Required Project Information (Applicant., complete this section)
Prospective
Applicant Name: Phone: t
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Prospective
Applicant's Rep.:
Phone:
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Fax:
Address:
E-mail:
Pro ertowner:
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Company:
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ASSESSOR'S MAP NO:
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Property Address: 0{Z 01 -2743
Size of Pro ert: 6 S Ci.�CsL. Acres Fgt Square Feet ❑
Description of If you are filling in this form by hand, please attach your proposal description to this application.
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Existing Use: Proposed Use: qL,sJ,,—
City Zoning:
Metro Designation: LJuz
Population: �-
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Signat
Print
Case No.: Z21-ODookZ-M--E I Date: K1 5-70L7i Reviewed b :
Application Fee: $ b' -kb 0V
1 Technical Fee: $0
1 Postage Fee: $0
TOTAL FEES: $
I PROJECT NUMBER:
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4714 Jasper Road —Annexation DIM Exhibit
Misty Avalos & Karen Grassett
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