HomeMy WebLinkAboutApplication APPLICANT 4/27/2023City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
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RINGFIELD
LAND USE COMPATIBILIITY STATEMENT (LUCS), DEPARTMENT OF
MOTOR VEHICLES (DMV) and ZONING VERIFICATION LETTER
Application form
Permit Type
Dept of Motor Vehicles -New: ❑ Land Use Compatibility Statement: ,� city:
Dept of Motor Vehicles -Renewal: ❑ oning Verification Letter: UGB: ❑
Project • •
Applicant Name: Phone: = y 7 q a -WO
ID
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Company: N cvu^ 0-4 w"r5 Sckov A eov. c_.n E-mail: al_A n r%C CLh Vrxvj
Address: 1`d10 free.
Property Owner: Me_�C_O ?_�k `
Phone: (' (093 Rwi
E-mail: rn $c� n me Zvfe�l
Company: e�r_o �v� S' 2 � Qom,`
Address: r Off- q- N % 7
ASSESSOR'S MAP NO: 003o\S'23oa4p t ITAXLOTNO(S):
Pro ert Address: 11610 ISS''` S•�_c..c,'f
Description of proposal/ request: C.
Recordcomplete)
Record �� ��' nU�
No: 6 Date Received:
Application Fee: $ 3 tp S' Technical Fee: $ i �•
TOTAL FEES: $ �P3- QS Assigned Planner:
Revised 2023 04 04 slm
44,