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HomeMy WebLinkAboutApplication Applicant 5/15/2024!City of Springfield SPRINGFIELD Development & Public Works 225 Fifth Street Springfield, OR 97477 1L LAND USE COMPATIBILIITY STATEMENT (LUCS), DEPARTMENT OF MOTOR VEHICLES (DMV) and ZONING VERIFICATION LETTER Application form Dept of Motor Vehicles -New: ❑ Dept of Motor Vehicles -Renewal: ❑ Applicant Na Company: �C{ z Address:l�� { Property Owner: Company: Address: U0 iJA Land Use Compatibility Statement: 54 Zoning Verification Letter: ❑ S_*q2 C&. ASSESSOR'S MAP NO: Property Address: I SW LakWA Description of proposal/ request: Phone: E-mail: 1-740 Phone: E-mail: •Ft, 33�o I TAX LOT NOS : 1.P 1P Va-cll'm `1z % / I City: M Ups: ❑ -6sqZ ,E e. u rAt ptA�frts�. Record No: } �— ��� - I Date Received: Alsi- Application Fee: u • D Technical Fee: isL 0�5 TOTAL FEES: $ S---3 rZ Asslaned Planner: 1 Revised 2023 04 04 slm DIGITAL BILLBOARD PERMIT APPLICATION vs artmeat Outdoor of'Advertising Sign Program • 4040 Fairview Industrial Drive SE, MS #2 • Salem, OR 97302 Traasportatlon .. ov/ODOT/ROW/P es/Outdoor-Advertisi -Si n.as x Part 1: Applicant Information and Sign Specifications NAME OF APPLIANT SELECT ONE Outfront Media LLC ❑ Owns 10% or less relocation credit 8 Owns more than 10% relocation MAILING ADDRESS 199 E Fifth Ave, Suite 25 credit CITY STATE ZIP PHONE FAX E-MAII Eugene OR 97424 5412553592 Christie.Lindgren@ouffront.com TYPE OF LEGAL ENTITY ❑ Oregon corporation ❑ Individual ❑ Individual, dba: " " 8 Other: Delaware LLC NAME OF PERSON OR ENTITY TO ERECT SIGN NAME OF EMERGENCY MALFUNCTION CONTACT PERSON Ph ONE Webfoot Enterprises LLC Christie Lindgren 5412553592 MAILING ADDRESS FORFEITED ACTIVE PERMITS AND RELOCATION CREDITS P'6 Box 51256 Standing: 8077 1 1 CITYSrATE Eugene OR zIP 97405 Credits: 200202 / 2N2833 1 3CO472 1 3CO450 PHONE E-MAII ADDRESS DATE AND TIME APPLICATION RECEIVED (ODOT USE ONLY) 5418954275 webfootenterprises@gmail.com PURPOSE OF APPLICATION SKETCH OF SIGN, INCLUDING STRUCTURE, FACE, LIGHTING AND CONFIGURATION OF SUPPORTS. ❑ Reconstruction Of permit no.: (MAY NOT RESEMBLE AN OFFICIAL SIGN - ors 377.720) 8 Relocation of permit no.: 200397 ❑ Preexisting sign permit application (complete Supplement) SIGN FACE HEIGHT (FEET) SUPPORT NUMBER AND SIZE HIGHWAY ROUTE NUMBER SIDE OF THE HIGHWAY EST. MILE POINT 14 1 monopole Hwy 227 / OR 126 North 4.4 SIGN FACE LENGTH (FEET) SUPPORT MATERIAL TOWNSHIP RANGE SECTIOWSUBSECTION MAP NO. TAX LOT 48 Steel 17 3W 27 9300 SIGN FACE AREA (SO. FEET) NUMBER, TYPE AND LOCATION OF LIGHTING LOCATION MARKING 672 LED Digital Display 8 The site is marked as follows: Existing Sign 17689A/B HALL SIGN PANEL NUMBERS OTHER INFORMATION 28' 017688 _ 8 Sign will be posted for compensation SIGN FACE SIGN FACE SIZE SIGN FACES DIRECTION 8 Single face (SF) ❑ Poster ❑ North ❑ South ❑ Sign will not be at the location of a business or activity open to the public ® Billboard ❑ East 8 West ❑ Uses renewable energy source type: If no renewable source utilized, complete affidavit on Page 3 NAME OF HIGHWAY PROPERTY OWNER NAME Hwy 227 / OR 126 Nantwich Associates LLC STREET ADDRESS OF SIGN SITE MAILING ADDRESS 1860 Laura St 1200 2nd Ave S, #402 CITY STATE ZIP Springfield OR 97477 CITY STATE ZIP St. Petersburg Fl- 33701 Part 2: Certification of Local Jurisdiction — zoning and compliance with local regulations This section to be completed by the representative of the local jurisdiction. (For questions, contact ODOT OAS Program at the website, listed below form title.) ZONING OF THE SIGN SITE (MAP AND TAX LOT INFORMATION IN THE SIGN LOCATION INFORMATION IN PART 1) A. Current zoning of the sign site described on this application: _ B. This is a (check one): c. Location was first zoned a commercial or industrial classification: ❑ Commercial classification ❑ On or before January 1, 1973 ❑ Industrial classification ❑ After January 1, 1973 ❑ Other (describe) ❑ Date is unknown or cannot be determined D. Check if the following statement is accurate: ❑ Current zoning was established as part of a comprehensive plan for the development of the overall area and not as spot or strip zoning devised primarily for the purpose of allowing outdoor advertising signs. COMPLIANCE WITH LOCAL REGULATIONS Check only one: ❑ The proposed sign location and structure comply with all applicable ordinances, plans, rules, and other requirements of this jurisdiction. ❑ The proposed sign location and structure do not comply with all applicable ordinances, plans, rules, and other requirements of this jurisdiction. ❑ Neither of the above statements is fully accurate. A letter of explanation must be attached. Certification of local jurisdiction All of Part 2, including any required attachment, is accurate based on the written information provided on this application by the applicant. (Erroneous information or improper zoning can result in permit cancellation.) PRINT NAME OF CITYICOUNTY REPRESENTATIVE CITY OR COUNTY WITH JURISDICTION TITLE OF CITY/COUNTY REPRESENTATIVE PHONE EMAIL ADDRESS OF REPRESENTATIVE SIGNATURE OF CITY/COUNTY REPRESENTATIVE DATE X 734-2667E (5/2023)