HomeMy WebLinkAboutApplication APPLICANT 4/28/2022City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477IL
Annexation Application Type IV
3 SPNIN6FIE
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Application Type (Applicant: Check one)
Annexation Application Pre -Submittal:
4
Annexation A lication Submittal: ❑
Required Proposal Information (Applicant., Complete This Section)
Pro a Owner: I MI<IWA-41105 SQ Phone: 5yf -521 99
Address: qi S C 15Pj2Ad,0YZ Fax:
P7117* E-mail: *
Owner Signature:
Owner Signature:
Agent Name:
Phone
Company:
Fax:
Address:
E-mail
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:
j TAX LOT NOS :
-02-" 05'I3 -03o0
Property Address:
"1111'j 73x5 r S { OQ -7479
Area of Request:
Acres: O 6 oic v s
Square Feet:
Existing Use(s)
of Property:
Proposed Use
of Property:
PropertyRequired
Case No.: Date: Reviewed By:
initials
Application Fee:
Postage Fee: I
Total Fee:
Revised 4/8/14 133 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.
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.
h Date: cq2%�22
Signat re
M. `r A-valb5
Print'
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.
Date:
Revised 4/8/14 133 Page 9 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.
TOTAL NUMBER OF OWNERS IN THE PROPOSAL
'Z
NUMBER OF OWNERS WHO SIGNED
PERCENTAGE OF OWNERS WHO SIGNED
TOTAL ACREAGE IN PROPOSAL
ACREAGE SIGNED FOR
/� o_
PERCENTAGE OF ACREAGE SIGNED FOR
D
TOTAL VALUE IN THE PROPOSAL
VALUE CONSENTED FOR
PERCENTAGE OF VALUE CONSENTED FOR
Revised 4/8/14 133 14 of 17
FORM 3
SUPPLEMENTAL INFORMATION FORM
(Complete aff 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: rn15iJ R1/C�IoS
E-mail: Mt`o-SSk1 @ Q NICU 1 C"b V')
Supply the following information regarding the annexation area.
• Estimated Population (at present): �C
• Number of Existing Residential Units
• Other Uses: m
• Land Area: O ,5 total acres
• Existing Plan Designation(s):
• Existing Zoning(s): L-00, p
• Existing Land Use(s): f-k_J! lQ{n
• Applicable Comprehensive Plan(s):
• Applicable 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 _�5 No
If yes, describe. ,
• Is the proposed use or development allowed on the property under the current
plan designation and zoning?
Yes 4�_ No
• Please describe where the proposed annexation is contiguous to the city limits
(non-contiguous annexations cannot be approved under 5.7-140, Criteria).
Y -.I r S '-17t- SS
Revised 4/8/14 BJ 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
-K 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.
�, ..
(Name)
(Name)
(Address)
S �'7� T�,r 97y&
(Address)
ri
(Ci ) 1 (zip)r
(City) (Zip)
Xl�y �\ Cri YAPS n l'0 1' -
(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:
1�-02-D5-13-03002 471Y 5 daV(4� Sid ITiLi7Y7`i
Map and Tax Lot Number Street Address of Proper- address has been
assigned) q` C) S `l-74S� SQo d Or',y_7x{79
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
Signatures of Legal Owners
Please print ort a name
Signature
Date Signed
Sim.
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`L 27 22.
Revised 4/8/14 BI Page 17 of 17
RECORDING REQUESTED BY:
�FYdeft National TW
GRANTOR'S NAME:
Sharon Grasseth
GRANTE@S NAME'
Misty A Avalon and Karen A Greeaeth
AFTER RECORDING RETURN TO:
Misty A Avabs and Karen A Grasseth
4714 Jasper Rd
Sprat9field, OR 97478
SEND TAX STATEMENTS TO:
same ae above.
Lane County Clerk 2016-053508
Lane County Deeds & Records
10/2712016 03:05:28 PM
RPR -DEED Cnt=l Stn=DCASHIER02 1pages
$21,00 $5.00 $10.00 $11.00 $47.00
Title No. 60481841439
Escrow No. 80221603491
4714 Jasper Rd, Springfield, OR 97478
SPACE ARM THIS ME FOR RECOROER'8 USE
BARGAIN AND SALE DEED - STATUTORY FORM
(INDIVIDUAL w CORPORATION)
Sharon Grasseth, Grantor, conveys to
_ _ . _ _ _____ - __, -- ,e..e. rn .,n- but with the Aahts of aumlvotship.
Real Property Tax Lot Record
Lane County Assessment and Taxation
Print Date: April 27, 2022
In preparation of these records, every effort has been made to offer the most current, correct, and clearly expressed
information possible. Nevertheless, inadvertent errors in information may occur. In particular but without limitation, Lane
County disclaims any responsibility for typographical errors and accuracy of this information. The information and data
included on Lane County servers have been compiled by Lane County staff from a variety of sources, and are subject to
change without notice to the User. Lane County makes no warranties or representations whatsoever regarding the quality,
content, completeness, suitability, adequacy, sequence, accuracy, ortimeliness of such information and data.
n2011, Assessment and Taxation was awarded an economic development grant which facilitated
the scanning of the approximately 160,000 then -existing tax lot records. The scanning took place
between February and June 2012.
The legal descriptions contained herein are for tax lot purposes only.
Included in this report:
1. A listing of documents affecting ownership andlor property boundary changes.
2. The scanned tax lot record image and any legal description changes made since.
Map & Tax Lot: 18-02-05-13-03002 Current Parcel/Account TCA
1296753 01937
Status: Active
ocume dt # Type tate Effective Year Tax Lot Acres
2018-069820 Death Certificate
Comments:
2010-063608 Bargain and Sale Deed
Comments:
2013-052558 Warranty Deed
Comments:
Comments:
D4/(W2016 2017 0.50
10/25/2016 2017 0.50
09130/2013 2013 0.50
0.60
OFFICIAL RECORD OF DESCRIPTIONS OF REAL PROPERTIES '
OFFICE OF COUNTY ASSESSOR LANE COUNTY, OREGON
1 2908 7Ki _
OLD NUMBER ACCOUNT NUMBER
TAX LOT pp
MAP NO. 18z02 -O5-1-3 PARCEL :.30b2 SECTION �__T
,JA�
WNSXIP .>=8.
PANGE 2 W W.M
LEGAL DESCRIPTION
DEED ACCORD
Beginning at the SW corner of the A W Hammitt
1979
97/31400
DLC #86 i Sec 5, T 18 S, R 2 W of the WM; running then(e
97/31401
�p2
S 00*1810pB W 213.21 £t; thence along the Northerly
97/31942-
C
right of Wayy of County Road /Rr.9, N 88*51,25,1 W
1986
R1406/862255,1
65.65 ft; thence N 88142512511 W 268.49 ft to an iron
1987
R1419/6635737
pin marki the true point of beginning; thence laaving
the right of way running
1990wd
R1640/903
448
120.00 ft; thence
INorth
S 89iI5912311 E 73.58 ft; thence
1991wd
R1682/9109412
North 84.97 ft; thence
N 89 5912311 W 149.72 ft to a point on the
lgv6,da
ao��95
f7�
Easterlyight of way of 47th street; thence along the
right
c -r^
Easterly of way
7
1 South 202.89 ft to a paint on the NCrtherly
right of hway of County Road #49; thence along said
NOrtherly right of way
S 88+42512511 E .76.17 £t to the true point of
beginning!.
by DMD cont4l
0.50
Ma� Revision from Map 18-02-05-404 for 1982.