HomeMy WebLinkAboutApplication Applicant 10/23/2024City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
1k
SPRINGFIELD
LAND USE COMPATIBILIITY STATEMENT (LUCS), DEPARTMENT OF
MOTOR VEHICLES (DMV) and ZONING VERIFICATION LETTER
Application form
Permit. -
Dept of Motor Vehicles -New:
Land Use Compatibility Statement: ❑ City: ❑
Dept of Motor Vehicles -Renewal: ❑
!Project Information
Applicant Name:va�e f
Zoning Verification Letter: ❑ UGB: ❑
a- 6,jrj Phone: 541-8q4- 901,S
Company: PujGrt-"DE-mail:1jQA
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Address: � � �Q � ►
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Property Owner:
Phone:
Company: HQ Irt n
E-mail:
Address:
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ASSESSOR'S MAP NO:
TAX LOT NOS : / L�3� S :2—Q 0Q
Proper Address:
St2r I r -L G�d 6 r 7<-/ 7-7
Description of proposal/request:
Recordcomplete)
Record No:
Date Received: n
Application Fee: $ '505
Technical Fee: $
TOTAL FEES: $
Assigned Planner: fib arv, (J)
Revised 2023 04 04 shn