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HomeMy WebLinkAboutApplication Applicant 11/7/2024City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 121 Annexation Development Initiation Meeting (DIM) SPRINGFIELD 116, f Required Project Information Prospective SvU\ A licant Name: C (Applicant: complete this section) Phone: Company: p V fi e� Address: 5 �1 r GId E-mail: Prospective A licant's Rep.: Phone: Company: Address: E-mail: Property Owner: Phone:95LA I Va.14061 Company: ne Uuntin Address: k ` 0 / E-mail: ASSESSOR'S MAP NO: Pro ert Address: LAAta C'>t- TAX LOT NOS 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: �f Existing Use: Proposed Use: City Zoning: Metro Designation: Population: Prospective Applicant: Signature ; 4,,L ,)-e V�r �. Print ] Date: / � / & �'/ Zo z4 Required Project Information Case No.: 1 `' (City Intake Staff., complete this section) Date: IaL�2a�4 Reviewed by: S pn1'YZ L Application Fee: $ Technical Fee: $0 Postage Fee: $0 TOTAL FEES: $ PROJECT NUMBER: Revised 04/17/2023 sim 6 of 16