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HomeMy WebLinkAboutApplication Applicant 4/2/2024(City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477L' SPRINGFIELD 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: ❑ Project _ Applicant Name: ; 4 , Zoning Verification Letter: ❑ UGB: ❑ Phone: 7 Lj 12 3 -2- 2 2 z - Com an P j G E-mail: , b l` Address: 825 5 1' /dd ©K Property Owner: Phone • // -q3 6:5 Company: E-mail: Address: ��7 5 �l ��jd ��L%� ASSESSOR'S MAP NO: � � �® TAX LOT NO(S): Property Address: Description of proposal/ request: CJS CL a Record Information . j j rl Record No: I IJoi - U - ! I Date Received: Application Fee: $ �1Y5. 00 Technical Fee: $ TOTAL FEES: $ ;�. - Assigned Planner: 1. MOV0 0 41 - &f rl IwA4 MIM Revised 2023 04 04 shn