HomeMy WebLinkAboutApplication Applicant 7/7/2023City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
Annexation Application Type 4
3 SPNINGFIE
Annexation Application Completeness Check:
Annexation ADDlication Submittal: ❑
ReQuired Proposal Information (Appilli Complete This Section)
Proprty
Owner: Thomas A. O'Keefe and Karen E. O'Keefe phone; 541-953-1603
Address: 610 Rayner AveRue, Springfield, O 97477 E-mail:
Owner Signature:
Owner Signature:
J,
K --
' \
Agent Name: 'n/a
Phone:
Company:
n/a
Fax:
--
Address:
n/a
E-mail
'-
Agent
Signature:
n/a
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:
70333
TAX LOT NO S
17-03-33-14-00908
Property Address:
610 Rayner Avenue, Springfield, OR 97477
Area of Request:
Acres:0.22
S uare Feet: 9583.2
Existing use: residential single family home (septic)
Proposed use= residential single family home (sewer)
Reviewed
Case No.: Date: By:
initials
Project No.:
Placard:
Application
Fee:
Postage Fee:
Total Fee:
Revised 04/17/2023 sim Page 8 of 16
Owner Signatures
This application form is used for both the required completeness check 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.
ness
The undersigned acknowledges that the information in this application is correct
and accurate for scheduling of the Completeness Check 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 ti elines, information, requests and requirements conveyed to my
represent e. (//1,
' v Date: duly 7, 2023
Signature
Thomas A. O'Keefe
I represent this application to be complete for submittal to the City. Consistent with the completeness check
performed on this application at the Completeness Check 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:
Signature
Revised 04/17/2023 slm Page 9 of 16
APPLICANTS SHOULD COMPLETE THE FOLLOWING STEPS PRIOR TO SUBMITTING AN
APPLICATION. APPLICATIONS NOT HAVING ALL BOXES CHECKED WILL BE RETURNED
TO THE APPLICANT AND WILL THEREFORE DELAY THE APPLICATION REVIEW
PROCESS.
E, Application Fee [SDC 5.7.125(B)(15)]
Refer to the Development Code Fee Schedule for the appropriate fee calculation formula. Fees
are based upon the area of land being annexed. Copies of the fee schedule are available at the
Development & Public Works Department. Fees are payable to the City of Springfield.
ra Petition/ Petition Signature Sheet [SDC 5.7.125(B)(2)]
To initiate an annexation by consents from property owners as explained below, complete the
attached Petition Signature Sheet (refer to Form 1). (Photocopies may be submitted at
completeness check, with original copies at time of application submittal).
Consent by Property Owners [ORS 222.127 and 222.170(l)]
If the proposal is to be initiated by the owners of at least one-half of the land area, land
value, and land ownership, complete Form 2. To give consent for a particular piece of
property, persons who own an interest in the property, or who are purchasers of property on
a contract sale that is recorded with the county, must sign the annexation petition. Generally,
this means that both husband and wife should sign. In the case of a corporation or business,
the person who is authorized to sign legal documents for the firm may sign the annexation
petition. Please provide evidence of such authorization. To ensure that the necessary
signatures are obtained, please complete the attached worksheet (Form 2). (Photocopies
may be submitted at completeness check, with original copies at time of application
submittal).
IL Certification of Ownership [SDC 5.7.125(8)(5)]
After completing the attached Petition Signature Sheet (Form 1), have the Lane County
Department of Assessment and Taxation certify the ownerships within the proposed annexation
area. (Photocopies may be submitted at completeness check, with original copies at
time of application submittal).
o Owners Worksheet
Information on the Petition Signature Sheet can also be found on Form 2, Owners and Electors
Worksheet. (Photocopies may be submitted at completeness check, with original copies
at time of application submittal).
o Supplemental Information Form [SDC 5.7.125(8)(1) and (11)]
Form 3 (attached) provides additional information for the proposed annexation that is not
requested on the Annexation Application Type 4 form, such as special districts that currently
provide services to the proposed annexation area. (Photocopies may be submitted at
completeness check, with original copies at time of application submittal).
Z Copy of the Deed (required at application submittal)
o Copy of Preliminary Title Report (required at application submittal)
Title Report must be dated within the past 30 days documenting ownership and listing all
encumbrances.
Revised 04/17/2023 slm Page 10 of 16
W. Annexation Description [SDC 5.7.125(6)(9)]
A metes and bounds legal description of the territory to be annexed or withdrawn must be
submitted electronically in Microsoft Word or a compatible software program. A legal description
must consist of a series of courses in which the first course must start at a point of beginning.
Each course must be identified by bearings and distances and,. when available, refer to deed lines,
deed corners and other monuments. A lot, block and subdivision description may be substituted
for the metes and bounds description if the area is platted. The Oregon Department of Revenue
has the authority to approve or disapprove a legal description. A professionally stamped legal
description does not ensure Department of Revenue approval.
Q Cadastral Map [SDC 5.7.125(B)(10)]
One (1) full-size paper copies and one (1) digital copy (in .pdf format) of the Lane County
Assessor's tax map that shows the proposed annexation area in relationship to the existing city
limits. Paper copy maps must be printed to scale.On all submitted maps the annexation area
must be outlined in redline with survey courses and bearings labeled for cross-reference with the
metes and bounds legal description. If the annexation area extends across more than one tax
map, sufficient copies of each affected tax map must be provided. Please be aware that
annexation redline closures must avoid creating gaps or overlaps, and may not necessarily
correspond with the property legal description. Cadastral maps can be obtained from the Lane
County Assessment and Taxation Office.
G] ORS 222.173 Waiver Form [SDC 5.7.125(B)(8)]
The waiver form (Form 4) signed by each owner within the proposed annexation area as allowed
by ORS 222.173.
o Public/Private Utility Plan [SDC 5.7.125(B)(12)]
A plan describing how the proposed annexation area can be served by key facilities and services
must be provided with the Annexation Agreement. Planning and public works staff will work with
the applicant to complete the Annexation Agreement.
o Written Narrative addressing approval criteria as specified below. All annexation requests
must be accompanied with a narrative providing an explanation and justification of response with
the criteria stated in the ap lication (also stated below). [SDC 5.7,125(B)(13) and (14)]
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 or separated from the City limits
only by a public right-of-way or a stream lake or other body of water;
B. The proposed annexation is consistent with applicable policies in the Metro Plan and in
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
efficient and timely manner; and
D. Where applicable fiscal impacts to the City have been mitigated through a signed
Annexation Agreement or other mechanism approved by the City Council.
z:One (1) copy of the previously required information.
ALL PLANS AND ATTACHMENTS MUST BE FOLDED TO W/2" BY 11" AND BOUND By
RUBBER BANDS.
Revised 04/17/2023 slm Page 11 of 16
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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.
OWNERS
Property
Designation
Ma lot number
Name of Owner
Acres
Assessed
Value
Imp.
Y / N
Signed
Yes
Signed
No
17-03-33-14-00908
m1. -1.0x --end Karen e. oxeere
0,22
$217,894
Y?
Y
n/a
VALUE CONSENTED FOR
510 Rayner Aaenue, Springfield OR We77
PERCENTAGE OF VALUE CONSENTED FOR
n/a
TOTALS:
1 0.22
TOTAL NUMBER OF OWNERS IN THE PROPOSAL
2
NUMBER OF OWNERS WHO SIGNED
2
PERCENTAGE OF OWNERS WHO SIGNED
100%
TOTAL ACREAGE IN PROPOSAL
0.22
ACREAGE SIGNED FOR
0.22
PERCENTAGE OF ACREAGE SIGNED FOR
100%
TOTAL VALUE IN THE PROPOSAL
n/a
VALUE CONSENTED FOR
n/a
PERCENTAGE OF VALUE CONSENTED FOR
n/a
Revised 04/17/2023 slm 13 of 16
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: Thomas O'Keefe / Karen O'Keefe
E-mail: tom.okeefel3@gmaii.com / kirishl1@comcast.net
Supply the following information regarding the annexation area.
• Estimated Population (at present): 2
• Number of Existing Residential Units: 1
• Other Uses: n/a
Land Area: 0.22
total acres
• Existing Plan Designation(s): private residential
• Existing Zoning(s): residential
• Existing Land Use(s): residential
• Applicable Comprehensive Plan(s):
• Applicable Refinement Plan(s): n/a
n/a
• Provide evidence that the annexation is consistent with the applicable
comprehensive plan(s) and any associated refinement plans. n/a
Are there developmentplansassociated with this proposed annexation?
Yes No L_Z
If yes, describe.
• Is the proposed use or development allowed on the property under the current
plan designation and zoning?
Yes I� No I
• Please describe where the proposed annexation is contiguous to the city limits
(non-contiguous annexations cannot be approved under 5.7-140, Criteria).
South -end of property borders/is adjacent to City of Springfield city limits.
Revised 04/17/2023 slm Page 14 of 16
n/
Does this application include all contiguous property under the same ownership?
Yes ! Y..... No Fi
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
71
Rainbow Water and Fire District
❑
Eugene School District
❑
Pleasant Hill School District
❑
Springfield School District
❑
McKenzie Fire & Rescue
❑
Pleasant Hill RFPD
❑
Willakenzie RFPD
❑
EPUD
❑
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.
a n/a
(Name) (Name)
n/a n/a
(Address) (Address)
n/a n/a
(City) (zip)
n/a
(Name)
n/a
(Address)
na/
(City) (zip)
(City) (Zip)
n/a
(Name)
n/a
(Address)
n/a
(City) (zip)
Revised 04/17/2023 slm Page 15 of 16
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:
17-03-33-14-00908
610 Revner Avenue, Springfield, OR 97477
Map and Tax Lot Number Street Address of Property (if address has been
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 [V/] indefinitely or [ ] until
Date
Siqnatures of Leqal Owners n i/
Please print or type name
Si n
Date Signed
Thomas A. O'Keefe
07/07/2023
Karen E. O'Keefe
7/07/2023
11- 1112oae.1111UN11n11111II1.-.1,- 11 11 11 ee
L111 S- Mly � 2023
Revised 04/17/2023 slm Page 16 of 16
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Tom and Karen O'Keefe
610 Rayner Avcnuc
Springfield, Oregon 97477
(541) 953-1603/(541)726-0726
Annexation Application Type 4 - Completeness Check
Checklist, Pg 11 of 16, Answers
Written Narrative addressing approval criteria as specified below. All annexation
requests must be accompanied with a narrative providing an explanation and
justification of response with the criteria stated in the application (also stated below).
[SDC 5.7.125(8)(13) and (14)]
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 or separated from the
City limits only by a public right-of-way or a stream lake or other body of water;
We believe that our property to be annexed with the City of Springfield is
within the city limits; that is, the south -end (backside) of our property
located at 610 Rayner Avenue borders and/or is adjacent to Springfield's
city limits.
B. The proposed annexation is consistent with applicable policies in the Metro Plan
and in any applicable refinement plan or Plan Districts;
In having recent discussions with Springfield's Development & Public Works
officials, we believe our proposed annexation is consistent with the
applicable policies within the city district.
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 efficient and timely manner; and
It is our anticipation that since key facilities and services are directly
available for Rayner Avenue, this annexation can be accomplished in an
orderly efficient and timely manner.
D. Where applicable fiscal impacts to the City have been mitigated through a
signed Annexation Agreement or other mechanism approved by the City
Council.
We would like further information of the "fiscal impacts" to the City
via mitigation in an Annexation Agreement with the City and will work
with planning and public works staff to understand and come to an
agreement on this issue.
Tom and Karen O'Keefe
610 Rayner Avenue
Springfield, OR 97477
Legal Description
Lot 17, Block 5, SECOND ADDITION TO GARDENWAY PARK, as platted
and recorded in Book 68, Page 16, Lane County Oregon Plat Records,
in Lane County, Oregon.
9-30• 98 2469
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[Im [oaoeing t Cned zeal pmpctty a vazet, in coomy. OP, face of
encue —.. -,: 11 a nle— .call, ve L•fortA herein, :o ¢IIS
Lot 19, Hlock 5, SxMats aeDUION TD GARDMAY to K, as p_attetl an corded in
BWk 68, PagC 16, L.a,Lnty O[a3on Fid[ Reeoids, to Lane ^nwKy' OiegJn.
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STATUS OF RECORD TITLE REPORT
KAREN O'KEEFE Date: JUNE 30, 2023
Our No: CT -0340148
Your No: --
Charge: $300.00
As requested, Cascade Title Co. has searched our tract indices as to the following
described real property:
Lot 17, Block 5, SECOND ADDITION TO GARDENWAY PARK, as platted and recorded in Book
68, Page 16, Lane County Oregon Plat Records, in Lane County, Oregon.
and as of: JUNE 23, 2023 at 8:00 A.M., we find the following:
Vestee:
THOMAS A. O'KEEFE AND KAREN E. O'KEEFE,
as tenants by the entirety
Said property is subject to the following on record matters:
1. Property taxes in an undetermined amount, which are a lien but not yet payable,
including any assessments collected with taxes to be levied for the fiscal year
2023-2024.
2. Easements, notes, conditions, restrictions and dedications as shown, set forth,
and/or delineated on the recorded Plat of Second Addition to Gardenway Park,
recorded in Reception No. F068 S016, Lane County Oregon Plat Records.
NOTE: The property address as shown on the Assessor's Roll is:
610 Rayner Avenue
Springfield, OR 97477
NOTE: Taxes, Account No. 1116480, Assessor's Map No. 17 03 33 1 4, 4908, Code 19-03,
2022-2023, in the amount of $3,225.48, PAID IN FULL.
This report is to be utilized for information only. This report is not to be used as a
basis for transferring, encumbering or foreclosing the real property described.
The liability of Cascade Title Co. is limited to the addressee and shall not exceed the
premium paid hereunder.
CASCADE TITLE CO., by:
rmh/rh: Title Officer: KURT BEATY
MAWOFF[CE FLORENCE OFFICE V[LLAGEPLAZAOMCE
811WLLAMETTESM 915 HWY 101' FLORENCE OREGON 97439 47M VE,LAGE PLAZA LOOP SUITE 100
EUGENE, OREGON 9]401 MAH.[NG: PO BOX 508' FLORENCE OREGON 97439 EUGENE, OREGON 97401
PH: (541) 6872233 * FAX: (541)185-0309 PH: (541) 99]341] * FAX: (541)9978246 PH: (541) 653-8622 * FAX: (541) 8444626
019-03
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