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Home My WebLink AboutApplication Applicant 8/8/2023JCity of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 Floodplain Overlay District Development SPRINGFIELD 161h., .Required Project Information (Applicant: complete this section) Applicant Name: 7{<i�Lt 2 Phone: 6 9/ 5 to . SS Company: Email: 'e., 10 Pis e Or",-, Address:/ 52- d 2. l e L z( 0 r`-�> . Applicant's Rep.: Phone: Company: Email: Address: Property Owner: - L�� L� Phone: 5 ` 'r 1 S/o company: Email: KJ- L' °oe6G I Address: �J IdA-ie-bL 2.. ASSESSOR'S MAP NO: 16-03-6 0-:53 Property Address: /1Ae ®k' Size of Property: TAX LOT NOS): '1Z 330C DAF-111C,,� �� 71/77 Acres 14 S uare Feet ❑ Zoning: Existin Use: Description of If you are filling in this form by hand, please attach your pro osal des ion to this application. Proposal:'r h . Si natures: Please sign and vint your name and date in the approrwiate box on the next a e. Required Property Information (City Intake Staff., complete this section) Associated Cases: Case No.: Date: Reviewed by: Application Fee: $ Technical Fee: $ Posta a Fee: 0 TOTAL FEES: $ PROJECT NUMBER: Revised 3/9/22 Sandy Belson 1 of 4 z rr► -a" Signatures The undersigned acknowledges that the information in this application is correct and accurate. Applicant: Signi Print Owner: Date: If the applicant is not the owner, the owner hereby grants permission for the applicant to act in his/her behalf. Signature Print Date: Revised 3/9/22 Sandy Belson 2 of 4 Floodplain Overlay District Development Application Process 1. Applicant Submits a Floodplain Overlay District Development Application to the Development & Public Works Department The application must conform to the Floodplain Overlay District Development Submittal Requirements Checklist on page 4 of this application packet. Planning Division staff screen the submittal at the front counter to determine whether all required items listed in the Floodplain Overlay District Development Submittal Requirements Checklist have been submitted. Applications missing required items will not be accepted for submittal. 2. City Staff Conduct Detailed Completeness Check • Planning staff conduct a detailed completeness check within 30 days of submittal. • The assigned Planner notifies the applicant in writing regarding the completeness of the application. • An application is not deemed complete until all information as required by SDC 3.3.435(8), including all information necessary to evaluate the proposed development, its impacts, and its compliance with the provisions of the Springfield Development Code and other applicable codes and statutes have been provided. • Incomplete applications, as well as insufficient or unclear data, will delay the application review process and may result in denial. 3. City Staff Review the Application and Issue a Decision • Floodplain development approval is a Type I decision and thus is made without public notice and without a public hearing since there are clear and objective approval criteria and/or development standards that do not require the use of discretion. • Decisions address all the applicable approval criteria and/or development standards. • Applications may be approved, approved with conditions, or denied based on the findings of fact showing compliance/non-compliance with the floodplain development standards in SDC 3.3.430. • The City mails the applicant and any party of standing a copy of the decision, which is effective on the day it is mailed. • The decision issued is the final decision of the City and may not be appealed. 4. Next Steps • Approval of a floodplain development permit is required before construction or development begins within any area of special flood hazard established in SDC 3.3.420(8). Upon placement of the lowest floor of a structure (including basement) but prior to further vertical construction, applicant must obtain documentation, prepared and sealed by a professional licensed surveyor or engineer, certifying the elevation (in relation to mean sea level) of the lowest floor (including basement). Where base flood elevation data are utilized, the applicant must obtain As -built certification of the elevation (in relation to mean sea level) of the lowest floor (including basement) prepared and sealed by a professional licensed surveyor or engineer, prior to the final ins ec ion. Revised 3/9/22 Sandy Belson 3 of 4 Floodplain Overlay District Development Submittal Requirements Checklist NOTE: If you feel an item does not apply, please state the reason why and attach the explanation to this form. ❑ Application Fee - refer to the Development Code Fee Schedule for the appropriate fee calculation formula. A copy of the fee schedule is available at the Development & Public Works Department and on the city's website. The applicable application, technology, and postage fees are collected at the time of complete application submittal. ❑ Floodplain Development Application Form Property Ownership or Control - a copy of the deed to the property, present lease agreement, or other evidence showing the applicant is exclusive ownership or control of the property, or has consent of all owners to act on their behalf. ❑ Narrative explaining the proposal and any additional information that may have a bearing on the action to be taken, including findings demonstrating compliance with the Floodplain Overlay District Development Standards described in SDC 3.3.430. ❑ Three (3) Copies of a Plot Plan drawn to scale to include: ❑ The nature, location, dimensions, and elevations of the development area ❑ Name, location, and dimensions of all existing and proposed structures ❑ Name, location, and dimensions and amount of fill and/or excavations ❑ Name, location, and dimensions of all storage of materials ❑ Name, location, and dimensions of all drainage facilities ❑ Base flood elevation area ❑ Elevation in relation to mean sea level ❑ Of the natural grade(s) of the proposed development area (for structures, show elevations at the corners of the proposed structures) prior to excavation or the placement of fill ❑ Of the lowest floor (including basement) of all structures and all attendant utilities of all new and substantially improved structures (in accordance with SDC 3.3.425(C)(2) ❑ To which any structure has been flood -proofed ❑ Other Permits - Copies of required local, state, and federal permits ❑ Floodproofing Certification - Provide certification by a registered professional engineer or architect licensed in the State of Oregon that flood -proofing methods for any non- residential structure meet the flood -proofing criteria for non-residential structures in SDC 3.3.430(B)(3)(c). ❑ Floodway - Certification by a registered professional engineer demonstrating through hydrologic and hydraulic analyses performed in accordance with standard engineering practice that proposed encroachment(s) will not result in any increase in flood levels within the community during the occurrence of the base flood discharge (unless a CLOMR is approved by FEMA). ❑ Watercourse - Description of the extent to which any watercourse will be altered or relocated. Base Flood Elevation data for subdivision proposals or other development when required per SDC 3.3.425(C)(1) and SDC 3.3.430(A)(7) ' 1 Substantial Improvement Calculation for any improvement, addition, reconstruction, renovation, or rehabilitation of an existing structure Revised 3/9/22 Sandy Belson 4 of 4 City Of S i�r�11�- �J- ngfield Develo 2�S ertt & Public WorksWorks%iith Street Springfield, OR 97477 F100dpfaln Overlay District Development Revised 1/1/08 Molly Markarian 1 of 4 0 Signatures Applicant: Owner. The undersigned acknowledges that the information In this application is correct and accurate. Date: / 12 f 7-0 Sign tore 1 Print the applicant is not the owner, the owner hereby grants permission for the applicant to act in his/her behalf. re J Revised 1/1/08 Molly Markarian 2 of 4 ZL",Lo� C) a F>7, y �jll z o Cm m-<° stn cn 00 N o 0 N L4 w O o M439 8 /b b r� O Z Z 440 W O 44 O 442 t x 171`443 O 2�°xy 0'"'444�_ ZZ�z tr1�445� t7�OO 449 M m Y O �- Y � m z i APp`Rp --_- O > FLOO') 'AYT E rn rZ„zO _ X Gip M N ., i., m Z z H H O .y� �1 , b • �j /.y� F�.I yy y.y � r r to CD rr,m CL N CD ' ' N13o0553 1� r" Z 9g' 0~-448, COD ] tri yJ z �'• � X9RB0 � � ' R Tt C, Ow °° O � V fi7 N V N A vwr d ,4-i Dri V o Rr,h1 `j'& Ix _- J/so , a 0 cZ t4 5— I>TPIa�-� qfq, fp It U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2022 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: Kaye Joe Living Trust A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1852 Harbor Drive City State ZIP Code Springfield Oregon 97477 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Map No. 18-03-02-33 Tax Lot No. 3300 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 44.027975 Long. -123.024616 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 9 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1456.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 12 c) Total net area of flood openings in A8.b 864.00 sq in d) Engineered flood openings? ❑ Yes ❑x No A9. For a building with an attached garage: a) Square footage of attached garage 0.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0.00 sq in d) Engineered flood openings? ❑ Yes ❑x No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State Lane County 415591 Lane Oregon B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 41039C F 06-02-1999 06-05-2020 AE 450.0' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: ❑x FIS Profile ❑ FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1852 Harbor Drive City State ZIP Code Company NAIC Number Springfield Oregon 97477 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑x Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: City Of Springfield BM#485 Vertical Datum: NGVD 29 Indicate elevation datum used for the elevations in items a) through h) below. n NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) ❑ feet ❑ meters b) Top of the next higher floor _ ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) ❑ feet ❑ meters d) Attached garage (top of slab) ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building ❑ ❑ feet meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 449.5 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 450.3 ❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support ❑ feet ❑ meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes 0 No ❑ Check here if attachments. Certifier's Name License Number Brent W. Corning LS 89960 REGISTERED Title PROFESSIONAL Professional Land Surveyor LAND SURVEYOR Company Name DIGITALLY SIGNED EGR & Associates, Inc. Address OREGON 2535 B Prairie Road MARCH 8, 2022 City State ZIP Code BRENT W. CORNING89960 Eugene Oregon 97402 RENEWS: 12/31/23 Signature Date Telephone Ext. 07-11-2023 (541) 688-8322 Comments (including type of equipment and location, per C2(e), if applicable) FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1852 Harbor Drive City State ZIP Code Company NAIC Number Springfield Oregon 97477 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is [:]feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet❑ meters ❑above or E] below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet❑ meters ❑above or E] below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1852 Harbor Drive City State ZIP Code Company NAIC Number Springfield Oregon 97477 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: _ ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1852 Harbor Drive City State ZIP Code Company NAIC Number Springfield Oregon 97477 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Caption Photo Two Caption FEMA Form 086-0-33 (12/19) Photo One Front View -,2020 Photo Two Photo Two Rear View -,2020 Replaces all previous editions. Clear Photo One Clear Photo Two Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022 FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6 PLOD KATHLEEN JOE 541-510-5540 KAYEJOE5 GMAIL.COM SITE ADDRESS: 1852 HARBOR DRIVE; SPRINGFIELD OREGON 97477 IVIAp/TAX LOT #.1 8030233/3300,21 ACRES D1jn q5`�.. o (C tV6 V )-q)j Alf / O� C6Zc AP?IVIV 0 14 I /05' J it 9y Of i v -e w x y rA zz� 2021-038701 06/10/202103:19:22 PM 2pages $92.00 TITLE NO. 0327035 2021-038701 Lane County Clerk 2021-050422 ESCROW NO. EU21-1334 SB Lane County Deeds & Records TAX ACCT. NO. 0580611&4090955 08/02/2021 11:14:52 AM MAP/TAX LOT NO. 18-03-02-33-03300 RPR -DEED Cnt=1 Sin=45 CASHIER 04 3pages $15.00 $11.00 $10.00 $61.00 $97.00 GRANTOR HALE A. HOHNSTEIN and SHARON LEE HORNSTEIN GRANTEE THE KAYE JOE LIVING TRUST I-8 jax t' -1 V e Dk' 97,477 Until a change is requested all tax statements shall be sent to the following address: ***SAME AS GRANTEE*** After recording return to: CASCADE TITLE CO. 811 WILLAMETTE EUGLNE, OR 97401 WARRANTY DEED -- STATUTORY FORM HALE A. HORNSTEIN, G a loo AND SHARON LEE HOHNSTEIN, HUSBAND AND WIFE, GRANTOR conveys and warrants to KAYE JOE, TRUSTEE OR HER SUCCESSORS IN TRUST UNDER THE KAYE JOE LIVING TRUST DATED MAY 14, 2020, AND ANY AMENDMENTS THERETO, Grantee, the following described real property free of encumbrances except as specifically set forth herein: Lot 25, Block 3, FILBERT GROVE FIRST ADDITION, as platted and recorded in Book 52, Page 25, Lane County Oregon Plat Records, in Lane County, Oregon. The true consideration for this conveyance is $251,000.00. BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT, THE PERSON TRANSFERRING FEE TITLE SHOULD INQUIRE ABOUT THE PERSON'S RIGHTS, IF ANY, UNDER ORS 195.300 (Definitions for ORS 195.300 to 195.336), 195.301 (Legislative findings) AND 195.305 (Compensation for restriction of use of real property due to land use regulation) TO 195.336 (Compensation and Conservation Fund) AND SECTIONS 5 TO 11, CHAPTER 424, OREGON LAWS 2007, SECTIONS 2 TO 9 AND 17, CHAPTER 855. OREGON LAWS 2009, AND SECTIONS 2 TO 7, CHAPTER 8, OREGON LAWS 2010. THIS INSTRUMENT DOES NOT ALLOW USE OF THE PROPERTY DESCRIBED IN THIS INSTRUMENT IN VIOLATION OF APPLICABLE LAND USE LAWS AND REGULATIONS. BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT, THE PERSON ACQUIRING FEE TITLE TO THE PROPERTY SHOULD CHECK WITH THE APPROPRIATE CITY OR COUNTY PLANNING DEPARTMENT TO VERIFY THAT THE UNIT OF LAND BEING TRANSFERRED IS A LAWFULLY ESTABLISHED LOT OR PARCEL, AS DEFINED IN QRS 92.010 (Definitions for ORS 92.010 to 92.192) OR 215.010 (Definitions), TO VERIFY THE APPROVED USES OF THE LOT OR PARCEL, TO DETERMINE ANY LIMITS ON LAWSUITS AGAINST FARMING OR FOREST PRACTICES, AS DEFINED IN ORS 30.930 (Definitions for ORS 30.930 to 30.947), AND TO INQUIRE ABOUT THE RIGHTS OF NEIGHBORING PROPERTY OWNERS, IF ANY, UNDER ORS 195.300 (Definitions for ORS 195.300 to 195.336), 195.301 (Legislative findings) AND 195.305 (Compensation for restriction of use of real property due to land use regulation) TO 195.336 (Compensation and Conservation Fund) AND SECTIONS 5 TO ll, CHAPTER 424, OREGON LAWS 2007, SECTIONS 2 TO 9 AND 17, CHAPTER 855, OREGON LAWS 2009, AND SECTIONS 2 TO 7, CHAPTER 8, OREGON LAWS 2010. Except the following encumbrances: Covenants, Conditions, Restrictions, Easements and Rights of Way of record, if any. Lane County Clerk =� RRECORD AT THE REQUEST Lane County Deeds & Records OF CASCADE ESCROW CASCADE TO CORRECT GRANTOR RPR -DEED Cnt=1 Stn=B CASHIER 12 TITLE Co. VESTING, PREVIOUSLY $10.00 $11.00 $10.00 $61.00 RECORDED AS' FEE NUMBER 2021-038701 06/10/202103:19:22 PM 2pages $92.00 TITLE NO. 0327035 2021-038701 Lane County Clerk 2021-050422 ESCROW NO. EU21-1334 SB Lane County Deeds & Records TAX ACCT. NO. 0580611&4090955 08/02/2021 11:14:52 AM MAP/TAX LOT NO. 18-03-02-33-03300 RPR -DEED Cnt=1 Sin=45 CASHIER 04 3pages $15.00 $11.00 $10.00 $61.00 $97.00 GRANTOR HALE A. HOHNSTEIN and SHARON LEE HORNSTEIN GRANTEE THE KAYE JOE LIVING TRUST I-8 jax t' -1 V e Dk' 97,477 Until a change is requested all tax statements shall be sent to the following address: ***SAME AS GRANTEE*** After recording return to: CASCADE TITLE CO. 811 WILLAMETTE EUGLNE, OR 97401 WARRANTY DEED -- STATUTORY FORM HALE A. HORNSTEIN, G a loo AND SHARON LEE HOHNSTEIN, HUSBAND AND WIFE, GRANTOR conveys and warrants to KAYE JOE, TRUSTEE OR HER SUCCESSORS IN TRUST UNDER THE KAYE JOE LIVING TRUST DATED MAY 14, 2020, AND ANY AMENDMENTS THERETO, Grantee, the following described real property free of encumbrances except as specifically set forth herein: Lot 25, Block 3, FILBERT GROVE FIRST ADDITION, as platted and recorded in Book 52, Page 25, Lane County Oregon Plat Records, in Lane County, Oregon. The true consideration for this conveyance is $251,000.00. BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT, THE PERSON TRANSFERRING FEE TITLE SHOULD INQUIRE ABOUT THE PERSON'S RIGHTS, IF ANY, UNDER ORS 195.300 (Definitions for ORS 195.300 to 195.336), 195.301 (Legislative findings) AND 195.305 (Compensation for restriction of use of real property due to land use regulation) TO 195.336 (Compensation and Conservation Fund) AND SECTIONS 5 TO 11, CHAPTER 424, OREGON LAWS 2007, SECTIONS 2 TO 9 AND 17, CHAPTER 855. OREGON LAWS 2009, AND SECTIONS 2 TO 7, CHAPTER 8, OREGON LAWS 2010. THIS INSTRUMENT DOES NOT ALLOW USE OF THE PROPERTY DESCRIBED IN THIS INSTRUMENT IN VIOLATION OF APPLICABLE LAND USE LAWS AND REGULATIONS. BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT, THE PERSON ACQUIRING FEE TITLE TO THE PROPERTY SHOULD CHECK WITH THE APPROPRIATE CITY OR COUNTY PLANNING DEPARTMENT TO VERIFY THAT THE UNIT OF LAND BEING TRANSFERRED IS A LAWFULLY ESTABLISHED LOT OR PARCEL, AS DEFINED IN QRS 92.010 (Definitions for ORS 92.010 to 92.192) OR 215.010 (Definitions), TO VERIFY THE APPROVED USES OF THE LOT OR PARCEL, TO DETERMINE ANY LIMITS ON LAWSUITS AGAINST FARMING OR FOREST PRACTICES, AS DEFINED IN ORS 30.930 (Definitions for ORS 30.930 to 30.947), AND TO INQUIRE ABOUT THE RIGHTS OF NEIGHBORING PROPERTY OWNERS, IF ANY, UNDER ORS 195.300 (Definitions for ORS 195.300 to 195.336), 195.301 (Legislative findings) AND 195.305 (Compensation for restriction of use of real property due to land use regulation) TO 195.336 (Compensation and Conservation Fund) AND SECTIONS 5 TO ll, CHAPTER 424, OREGON LAWS 2007, SECTIONS 2 TO 9 AND 17, CHAPTER 855, OREGON LAWS 2009, AND SECTIONS 2 TO 7, CHAPTER 8, OREGON LAWS 2010. Except the following encumbrances: Covenants, Conditions, Restrictions, Easements and Rights of Way of record, if any. 0 Dated this day of HALE A. HOHNSTEIN State of Oregon County of Lane This instrument was acknowledged before me on OFFICIAL STAMP y SHANNON MAY BURGESS NOTARY PUBLIC -OREGON COMMISSION NO. 977638 „ MY COMMISSION EXPIRES AUGUST 07, 2022 My SHARON LEE HOHNSTEIN - STATE OF OREGON COUNTY OF LANE expires 2021 by HALE A. HOHNSTEIN. for Oregon)VI f & THIS INSTRUMENT WAS ACKNOWLEDGED BEFORE ME ON J� 12021 BY SHARON LEE HOHNSTEIN V(. CHEYENNE JOCE4YNI.EE �� i-z�— 'TARY PUBLIC FOR RECON) 4. NOTARY PUBUC-OREGON MY COMMISSION EXPIRES �1 COMMISSION 140.9OB363A MY COMMISSION EKRRES APRIL 06, 2024