HomeMy WebLinkAboutApplication Applicant 11/7/2024City of Springfield
Development & Public Works
225 Fifth Street
Springfield, OR 97477
Annexation Development Initiation Meeting (DIM)
SPRINGFIELD
L'
Required Project Information ,{Applicant: complete this section
Prospective
Applicant Name: Sicq-\.
Phone:
Company:
t[
Address:S
Rplficld
E-mail:
Prospective
Applicant's Rep.:
Phone:
Company: _
Address:
E-mail:
Property Owner:
Phone:15q I ' (a
Company:
Address: p _ �. �='
E-mail:
ASSESSOR'S MAP NO:
TAX LOT NOS):
Property Address: Kn
Size of Property:
Acres ❑ Square Feet ❑
Description of If you are filling in this form by hand, please attach your proposal description to this application.
Proposal: Am 'iuu �p�rh ,n
i�5
ExistingUse:
Proposed Use:
City Zoning:
Metro
Designation:
Population:
Prospective
Applicant:
Date: Il )l /7"J, z
Signatur
SA0 ,n. r O`C
Print
Required Project
-complete
Case No.:
Date: JC I Reviewed by: S1 M w a —
Application Fee: $ Technical Fee: $0 Postage Fee: $0
TOTAL FEES: $
PROJECT NUMBER:
Revised 04/17/2023 slm 6 of 16