HomeMy WebLinkAboutApplication Applicant 9/17/2021 (2)rI)
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City of Springfield
Development & Public Works
225 Fifth Street
Springfield , OR 97477
SPRI]IOFIILD
PERMIT REVIEW INTAKE FORM (City Staff completes form)
City: XLand Use Compatibility Statement: XDept of Motor Vehicles-New: fI
UGB:Zoning Verification Letter: trDept of Motor Vehicles-Renewal! tr
Phone: 541-689-3548Applicant: Will Dixon
Emai I : wcd(arwillardcdixon.comCompany:
Address: 753 W 5th Ave., Eugene, OR97402
Phone:Property Owner: Main Street Properties LLC
Cell:Company: 4513 Bowser St. STE A
Address: 4513 Bowser St. STE A, Dallas, TX 252t9
TAx LoT NO(s): 00101ASSESSOR'S MAP NO: 17-02-32-42
Property Address: 4740 Main Street, Springfield, OR 97478
Description of Proposal: Land Use Compatibility In ,ion - Change of Use
Date Received: September L7,2021Record No: 811-21-O0O25O-TYP1
Technical Fee: $L7.4OApplication Fee: $348.OO
Assigned Planner: Drew LarsonTOTAL FEES: $365.40
Permit Type
Project Information
Record Information
Revised ll.2.1l kl
City of Springfield
Development Services Depaftment
225 Fifth Street
Springfield, OR 97477
Minimum Development Standards
Land Use Compatibility Inspection
SPRIilOFIILD
4740 Main St. I t7-O2-32-42-00t00Address/Map and Tax Lot
Community CommercialZoning
9,600 sq. ft.Building Size
(square footage)
General OfficeExisting Use
Retail - Flower ShopProposed Use
Site Visit Conducted Date
Final Site Visit Conducted
LUCI Issuance Date
Andrew V. LarsonPlanner Assigned
736-1003(s41)a la rson@springfi eld-or. govContact
nlaAssociated Permits
Property Information
CONDITIONS
MET (DATE)
CONDITION OF
OCCUPANCY NOTESCOMPLIESREQUIRED SITE
IMPROVEMENTS
tree(s) reqtrStreet Trees
filter(s) req.Stormwater Catch Basins
space(s) req.Bicycle Parking
space(s) req.
ADA space(s) reqntrParking Lot Striping
trtrtr
Screen
Pave
Drain
trScreened Trash Receptacle
Maintenance of Existing
Site Improvements
Revised 3ll7l1l ddk tof2
Minimum Development Standards
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Additional Comments/Applicable Special Use Standards
Statement of Compliance
By Signature, I state I have carefully examined this change of use approval and do hereby agree to
comply with the requirements of the approval and certify any and all work performed shall be done in
accordance with the Ordinances of the City of Springfield, applicable City Standard Specification and
Drawings and the laws of the State of Oregon pertaining to the work described herein.
The City may inspect the work site described in this approval at any time during a one-year period
following the receipt by the City of notice of completion of the described work and specify, at the City's
sole discretion, any additional work required to bring the site into compliance with all applicable City
standards. In the event conditions are not met prior to occupancy of the building or within thirty days
of issuance of the approval, Code Enforcement will be notified of an infraction and a citation may be
issued.
Name (Please Print)
Signature:Date:
Revised 3lIT lLl ddk 2of2