HomeMy WebLinkAboutApplication Applicant 11/28/2023City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
Annexation Application Type 4
SPRINGFIELD
1k
Application Type (Applicant: Check one)
Annexation Application Completeness Check: ❑
Annexation App.lication Submittal: IZI
Required Proposal Information (Applicant; Complete This Section)
Property Shellila L. Zientara
Owner: Phone:
Address:
29712 Gimpl Hill Rd Eugene, OR 97402
E-mail:
Owner Signature:
Owner Signature:
Agent Name:
Jed Truett
Phone:
341 302-9830
Company: Metro Planning, Inc Fax:
Address: 846 A St Springfield, OR 97477 E-mail led@metroplanning.com
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:
17033311301
I TAX LOT NOS
Property Address:
1717 Kellogg Rd Springfield, OR 97477
Area of Request:
Acres: 0.19 1 square Feet: 8276
Existing Use:
Single family dwelling
Proposed Use:
Single family dwelling
Required Property Information (City Intake Staff: Complete This Section)
Reviewed
Case No.: Date: By:
initials
Project No.:
Placard:
Application Postage Fee: Total Fee:
Fee: i
Revised 04/17/2023 slm 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.
(Completeness Check
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 timelines, information, requests and requirements conveyed to my
representative.
Owner:
Date:
Signature
Print
Submittal
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.
Owner:
Date:��
.nature
1/aE�-wo2k!gD
Print
Revised 04/17/2023 slm Page 9 of 16
o Annexation Description [SDC 5.7.125(B)(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.
o 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.
❑ 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.
❑ 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 application (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.
oOne (1) copy of the previously required information.
ALL PLANS AND ATTACHMENTS MUST BE FOLDED TO 8'/2" BY 11" AND BOUND BY
RUBBER BANDS.
Revised 04/17/2023 slm Page 11 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.
❑ Application Fee [SDC 5.7.125(8)(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.
o Petition/ Petition Signature Sheet [SDC 5.7.125(6)(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(1)]
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).
o 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).
.X Copy of the Deed (required at application submittal)
`')!� 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
0
LANG USE PLANNING ANG CONSULTING SERVICES
846 A STREET
SPRINGFIELD, OREGON 97477
(5411302-9830
WWW.METROPLANNING.COM
ANNEXATION APPLICATION FOR
Shellila Zientara
Submittal No.: 1
Document Date: November 10, 2023
Applicant's Request: Approval of annexation of subject property at
1717 Kellogg Rd.
Property Owner/ Applicant: Shellila Zientara
29712 Gimpl Hill Rd
Eugene, OR 97402
Applicant's Representative/ Metro Planning, Inc.
Planner/Project Coordinator: c/o )ed Truett
846 A Street
Springfield, OR 97477
Tel(541)302-9830
Subject Property: Map 17-03-33-11; Tax Lot 301
Location: 1717 Kellogg Rd. Springfield, OR 97477
Property Size: 0.19 acres
Zoning: LDR — Low Density Residential
Metro Plan: Low Density Residential
Development Plans Proposed None, connection to City Wastewater.
with this Annexation:
Annexation Application for
Shellila Zientara
Background
This is an annexation application for a 0.19 acre site, located in Springfield, in an area presently zoned R-1
residential. The subject property is located outside City of Springfield city limits, but within the Urban Growth
Boundary (UGB). The subject property is contiguous to city limits on the northern boundary.
The purpose of this proposed annexation is upgrading a failed septic tank with City Wastewater, no other
development is associated with this annexation as the property is already developed.
The proposed annexation is consistent with the City's Metro Plan low density residential designation. The legal
description that accompanies this application describes the entire annexation area.
To facilitate city staff review of this annexation application, this written statement clearly demonstrates how the
development meets the Annexation application criteria of SDC 5.7-140. The Springfield Development Code (SDC)
text sections are in bold and/or italics and the responses are included in plain text.
Annexations
SDC 5.7-140 Criteria
An annexation application may be approved only if the City Council bnds that the proposal conforms to the
following criteria:
A. The affected territory proposed to be annexed is within the City's urban growth boundary; and is
1. Contiguous to the city limits; or
2. Separated from the City only by a public right-of-way or a stream, lake or other body of water.
The subject property is contiguous to city limits on the northern property line and within the UGB.
S. The proposed annexation is consistent with applicable policies in the Metro Plan and in any applicable
refinement plans or Plan Districts.
Currently, the subject property is located within the City's urban growth boundary and is zoned in compliance with
the City's R-1 zone (low density residential). The Metro Plan diagram shows that the subject property is located
within an area designated for low density residential development. There are no neighborhood refinement plans for
this area.
There is no development plan associated with this annexation. The septic tank is failing and per COS code, cannot be
replaced and must be connected to City sewage. Annexation is required to connect to Springfield wastewater.
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.
The minimum level of key urban facilities and services can be provided in an orderly, efficient, and timely manner.
Briefly,
• Fire protection is provided by Rainbow Water District and Eugene Springfield Fire
• There is LTD service to the area
• Nearest Schools are Centennial, Hamlin and Springfield High School.
• Electric and water services currently exist for the property.
Metro Planning, Inc. October 31, 2023 P a g e 1 2
Annexation Application for
Shellila Zientara
D. Where app/icable, fiscal impacts to the City have been mitigated through an Annexation Agreement or
other mechanism approved by the City Council.
Fiscal impacts to the City will be mitigated after the Annexation Agreement which includes connection to City
Wastewater.
If there are any questions or concerns, please do not hesitate to contact me at Metro Planning via email
(ied(dometroolannina.com) or phone (541-302-9830).
Regards,
Jed Truett
Principal Planner
Metro Planning, Inc. October 31, 2023 P a g e 3
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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
1703331100301
Shellila Zientara
0.19
118083
y
x
118083
VALUE CONSENTED FOR
118083
PERCENTAGE OF VALUE CONSENTED FOR
100%
TOTALS:
0.19
118083
TOTAL NUMBER OF OWNERS IN THE PROPOSAL
1
NUMBER OF OWNERS WHO SIGNED
1
PERCENTAGE OF OWNERS WHO SIGNED
100%
TOTAL ACREAGE IN PROPOSAL
0.19
ACREAGE SIGNED FOR
0.19
PERCENTAGE OF ACREAGE SIGNED FOR
100%
TOTAL VALUE IN THE PROPOSAL
118083
VALUE CONSENTED FOR
118083
PERCENTAGE OF VALUE CONSENTED FOR
100%
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: Jed Truett / Metro Planning, Inc
E-mail: jed@metroplanning.com
Supply the following information regarding the annexation area.
• Estimated Population (at present): 1
• Number of Existing Residential Units: 1
• Other Uses:
• Land Area: 0.18
total acres
• Existing Plan Designation(s): Low Density Residential
• Existing Zoning(s): Low Density Residential
• Existing Land Use(s): Single Family Dwelling
• Applicable Comprehensive Plan(s): Metro Plan
i
• Applicable Refinement Plan(s): None
• Provide evidence that the annexation is consistent with the applicable
comprehensive plan(s) and any associated refinement plans. This area is designated
low density residential and will remain low density residential.
• Are there development plans associated with this proposed annexation?
Yes I____ i No ✓
If yes, describe.
• Is the proposed use or development allowed on the property under the current
plan designation and zoning?
Yes L—j No F
• Please describe where the proposed annexation is contiguous to the city limits
(non-contiguous annexations cannot be approved under 5.7-140, Criteria).
It is contiguous to the city limits on the northern boundary.
Revised 04/17/2023 slm Page 14 of 16
Does thisapplication include all contiguous property under the same ownership?
Yes L=_ ._ _i' No 171
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
111
Springfield School District
❑
McKenzie Fire & Rescue
❑
Pleasant Hill RFPD
❑
Willakenzie RFPD
❑
EPUD
0
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.
Jed Truett
(Name)
R4R A Strppt
(Address)
Springfield, OR 97477
(City)
(Name)
(Address)
(City)
(Name)
(Address)
(Zip) (City) (Zip)
(Name)
(Address)
(Zip) (City)
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:
zol _.1n!2)QRL[d
Map and Tax Lot Number Street Address of Pr p rty (if addr ss has been q-lg77
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 Revised
or [ ] until
Date
Signatures of Leaal Owners
Please
print or type
name
Signature
Date Signed
LCOG: L: 1BC12008 BOUNCHANGE TRANSMONIAPPLICATION FORMSISPRINGFIELO110-03-08 UPDATED FORMSIPRE-SUBMITTAL ANNEXATION APPLICATION 10-07-08. DOC
Last Saved: January 19, 2016
Revised 4/8/14 BJ Page 17 of 17
M
CASCADE
TITLE
Co.
STATUS OF RECORD TITLE REPORT
SHELLILA (KRUSE) ZIENTARA Date: SEPTEMBER 21, 2023
29712 GIMPL HILL ROAD Our No: CT -0341089
EUGENE, OR 97402 Charge: $300.00
II II II I I II I IIII II I I I II'0
As requested, Cascade Title Co, has searched our tract indices as to the following
described real property:
( A T T A C H E D)
and as of: SEPTEMBER 14, 2023 at 8:00 A.M., we find the following:
Vestee:
SHELLILA L. ZIENTARA
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. Rights of the public in and to that portion lying within streets, roads and
highways.
NOTE: The property address as shown on the Assessor's Roll is:
1717 Kellogg Road
Springfield, OR 97477
NOTE: Taxes, Account No. 0289619, Assessor's Map No. 17 03 33 1 1, #301, Code 19-03,
2022-2023, in the amount of $1,697.08, 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:
ec/rh: Title Officer: KURT BEATY
MAIN OFFICE FLORENCE OFFICE VILLAGE PLAZA OFFICE
S 11 WILLAMETTE ST. 715 HWY 101 * FLORENCE, OREGON 97439 4750 VILLAGE PLAZA LOOP SUITE 100
EUGENE, OREGON 97401 MAILING: PO BOX 508 * FLORENCE, OREGON 97439 EUGENE, OREGON 97401
PH: (541) 687-2233 * FAX: (541)485-0307 PH: (541) 997-8417 * FAX: (541)997-8246 PH: (541) 653-8622 * FAX: (541) 844-1626
Order No. 0341089
Page 2
PROPERTY DESCRIPTION
The following described tract of land lying in the Northeast 1/4 of the Northeast 1/4,
Section 33, Township 17 South, Range 3 West of the Willamette Meridian, in Lane County,
Oregon: Beginning at a point on the North line of Lot 1, Block 2, GARDEN WAY PARK, as
platted and recorded in Book 57, Page 29, Lane County Oregon Plat Records, said point
being 62.21 feet South 880 09' East from the Northwest corner of said Lot 1; running
thence North 020 34' 35" East 108.53 feet to the South line of Kellogg Road; thence
South 680 31' 35" East along the South line of Kellogg Road to a point where the South
line of said Kellogg Road intersects the West line of Rayner Avenue; thence South 00°
55' West along the West line of said Rayner Avenue 76.61 feet to the Northeast corner of
said Lot 1; thence North 880 09' West 87.77 feet to the place of beginning, in Lane
County, Oregon.
mnrm �� a��
CASCADE TITLE CO.
MAP NO.
17-03-33-11
INITIAL -
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50.67'
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THIS MAP/PLAT IS BEING FURNISHED AS AN AID IN LOCATING THE HEREIN DESCRIBED LAND IN
RELATION TO ADJOINING STREETS, NATURAL BOUNDARIES AND OTHER LAND, AND IS NOT A SURVEY
OF THE LAND DEPICTED. EXCEPT TO THE EXTENT A POLICY OF TITLE INSURANCE IS EXPRESSLY
MODIFIED BY ENDORSEMENT, IF ANY, THE COMPANY DOES NOT INSURE DIMENSIONS, DISTANCES,
LOCATION OF EASEMENTS, ACREAGE OR OTHER MATTERS SHOWN THEREON.
Lane County Clerk 2020-020750
Lane County Deeds & Records
04/28/2020 09:56:10 AM
RPR -DEED Cnt=1 Stn=40 CASHIER 01 1 pages
>■ $5.00 $11.00 $10.00 $61.00 $87.00
oascaoe
Trrr_E
ca.
TITLE NO. 0318612 / ESCROW NO. VP20-0508A SP
TAX ACCT. NO. 0289619 / MAPITAX LOTNO. 17-03-33-11-00301
GRANTOR
SHELLILA L. ZIENTARA, WHO ACQUIRED TITLE AS SHELLILA L. KRUSE
GRANTEE
SHELLILA L. ZIENTARA
29712 GIMPLE HILL RD
EUGENE, OR 97402
Until a change is requested
After recording return to:
all tax statements shall be
CASCADE TITLE CO.
sent to the following address:
811 WILLAMETTE
***SAME AS GRANTEE***
EUGENE, OR 97401
BARGAIN AND SALE DEED
SHELLILA L. ZIENTARA, WHO ACQUIRED TITLE AS SHELLILA L. KRUSE, Grantor,
conveys to
SHELLILA L. ZIENTARA, Grantee
hereinafter called grantee, and unto grantee's heirs, successors and assigns all of that certain real property with the
tenements, hereditaments and appurtenances thereunto belonging or in anywise appertaining, situated in the County
of Lane, State of Oregon, described as follows, to -wit:
The following described tract of land lying in the Northeast 1/4 of the Northeast 1/4, Section 33, Township 17
South, Range 3 West of the Willamette Meridian, in Lane County, Oregon: Beginning at a point on the North line
of Lot 1, Block 2, GARDEN WAY PARK, as platted and recorded in Book 57, Page 29, Lane County Oregon Plat
Records, said point being 62.21 feet South 880 09' East from the Northwest comer of said Lot I; running thence
North 02° 34'35" East 108.53 feet to the South line of Kellogg Road; thence South 68° 31' 35" East along the South
line of Kellogg Road to a point where the South line of said Kellogg Road intersects the West line of Rayner
Avenue; thence South 00° 55' West along the West line of said Rayner Avenue 76,61 feet to the Northeast comer of
said Lot 1; thence North 88° 09' West 87.77 feet to the place of beginning, in Lane County, Oregon.
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 ORS 92.010.(Derinitions 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 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.
The true consideration for s conveyance is to correct vesting.
Dated this day of
..
State of Oregon / County of Lane
This instrument was acknowledged before me on (9 9 2020 by SHELLILA L.
ZIENTARA.
OFFICIAL STAMP
SARAH MICHELLE PETERSON otary Public for Oregon)
NOTARY PUBLIC-ORFGON
COMMISSION 140.969584 My commission expires -"o
PAY COMMISSION EXPIRES DECEMBER 20, 2021
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