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Home My WebLink AboutApplication APPLICANT 5/13/2022City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 Annexation Application Type IV 3 SPRINGFIELD W Application Type (Applicant: Check one) xation A lication Pre-Submittal:xation FA lication Submittal: la' Required Proposal Information (Applicant., Complete This �Section) a pp Property Owner: 1 5 (' SQ Phone: S4I 7ZI 087 Address: 14 S C S Q✓L Fax: 741 7* E-mail: M, (r 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: I TAX LOT NOS : 19-07--05-13-03W Propertyy Address: K"I lei 5a5 Y- S Rid 0/L -71j 74} Area of Request: .Acres: OS 0-c-X'e.S Square Feet: Existing Use(s) q of Property: Proposed Use of Property: Required Property Information (City Intake Staff: Complete This Section) Case No.:Date• Reviewed By: �11� Lz initials �L Application Fee: p ,cjo Postage Fee: g, Total Fee: 401up.15 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. Owner signatures are required at both stages in the application process. An application without the Owner's original signature will not be accepted. Pre -Submittal 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. ,4jz/ ,1c L Date: `-(IZ%122 Signatdre 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. I (� (I 6V j b4 h oC C,t k n 1-C, ci/Bate: q/ 2_Z- Signature 2Signatu KA J� ItUz105� nVFyl �1� 55 Print I Revised 4/8/14 BI Page 9 of 17 We are looking to annex to the City of Springfield due to our drain field and septic tank have failed. The city sewer line is about 15ish feet from our septic tank, so placing anew drain field would be ineffective. The city sewer line runs down 47'h St and the sewer Stubbs up to my property along 4r St. 4714 Jasper Rd is within the city's portion of the urban growth boundaries and is contiguous to current city limits along its western boundary, which is 4r Street. This proposed residential property to be annexed is consistent with the current low density residential metro plan. The annexation will change borders by adding 0.5 acres along 47'h street and sewer to said property. o� M m sa 4 N M ^man O vi J ? ry O M n M p y o M 2 J �a m s m rta 2 M HO 2 oU) m °Inti m J p x N b a10 C J T ` b ao 'm n O1 J as T N b J d a W � m < J m �"m �Tn N � 3rt n m J � n T a� d 1V N oa n mMDa G Qa d � � N T� n b N 0 kap as a� xa N � d � v rt n J� n a� x e - N m� n Z N A W N m A o J d C T d 5 rc 3mo El cn ' L c z Uf d V F L mrt El R d Q J m � N D N N v K 3 V 3a v a_w 0 b � o� c C C O n n 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 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 PERCENTAGE OF ACREAGE SIGNED FOR TOTAL VALUE IN THE PROPOSAL VALUE CONSENTED FOR PERCENTAGE OF VALUE CONSENTED FOR Revised 4/8/14 BI 14 of 17 FORM 3 SUPPLEMENTAL INFORMATION FORM (Complete all 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: tAl RUcL- o_s E-mail: rv"')C6 UVi l Supply the following information regarding the annexation area. • Estimated Population (at present): �p • Number of Existing Residential Units: l • Other Uses: • Land Area: 0"5 total acres • Existing Plan Designation(s): • Existing Zoning(s): LOA., cc • Existing Land Use(s): • 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 _ T No If yes, describe. Co. , . Ad �eoha,,.vvl... • 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). J 1 V'y 11 in:. Jnr'_ S LI / tL S,�. Revised 4/,." 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 'IC 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. AVI, 60 Name (Name) `'� :fL� (Address)(Address) 97y7� (Zip) (Address) ' (crry) (zip) (City) (Zip) (Name) (Address) (City) (zip) Revised 4/8/14 BJ Page 16 of 17 13.rrarl 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: D5-13-Q3oo 3 r1,) S,GJ cN? 217 Map and Tax Lot Number Street Address of Property (i address has been assigned) qy0 S 'A-7 4- S} S�ozdI OK -`-7`i 7t 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 Sianatures of Leoal Owners Please print or tvDe name 1-1112111 sin n1ature Date Signed 1 U IN tL '1. L7 2 `{/277/22-- 1-11211smxwsisaxwcrrz��:a-o3-oe �oareoroamsaae-svarrm.�.xNE..,m�.onrUrmr,o-o>.oe.00c Revised 4/8/14 BI Page 17 of 17 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, or timeliness of such information and data. In 2011, 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 and/or 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 ParcellAcoount TCA 1296753 01937 Status: Active ct mient # Type Date Effective Year Tax Lot Acres 2016-055629 Death Certificate Comments: 2016-053508 Bargain and Sale Dead Comments: 2013-062588 Warranty Deed Comments: 04/04/2016 2017 0.50 10/25/2016 2017 0.50 08/30/2013 2013 0 50 Description Card 0.50 Comments: OFFICIAL RECORD OF DESCRIPTIONS OF REAL PROPERTIES ' OFFICE OF COUNTY ASSESSOR UNE COUNTY, OREGON 1 296 7Si OLD NUMBER ACCOUNT NUMBER TAX LOT q MAP NO. 1BZO2,-OS-1-3 ppRCEL:.3902 SECTION �_ �� fJjj TOWNSNIP �R, nANGE2W W.M e ro dna comm LEGAL DESCRIPTION DEED RECORD REMAINING of Ex.Rr Beginning at the SW corner of the A W Hammitt 1979 97/31400 DLC #86 Sec 5, T 18 S, R 2 W of the WM; running thenc a 97/31401 Hat S 00*1810PD W 213.21 ft'; thence along the Northerly 97/319)- C right of tray of County Road lA49, N 88*5112511 W 1986 R1406/862255,1 65.65 ft;II thence N 88*25,251, W 268.49 ft to an iron 1987 R1419/863!737 pin marki g the true point of beginning; thence leaving the right of way running 1990wd R1640/903 448 North 120.00 ft; thence S 89*59,23" E 73.58 ft; thence 1991wd R1682/91OS 12 North 84.97 ft; thence N 89+.59'23" W 149.72 ft to a point on the PW6L41d. 1.2041,2195 5'7Z, Easterly right of way of 47th street; thence along the Easterly -�..,,.�• 0,�3 right of way �+�'/ Em9 South 202.89 ft to a point on the Northerly right of way of County Road #49; thence along said NOrtharly right of way S 88*25,2511 E 76.17 ft to the true point of beginning. II by DMD cont rVl 0.50 Ma� Revision from Map 18-02-05-404 for 1982. 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.