HomeMy WebLinkAboutApplication Applicant 11/14/2024City of Springfield
Development & Public Works
225 Fifth Street
Springfiel d, OR 97477
Annexation Application Type 4
3
Application Type (Applic ant: Check one)
Annexation A lication Com leteness Check:
Multiple Owners -See Applicant List
Address: See Applicant List
Owner Signature:
Owner Signature:
A ent Name: Lorri Nelson
Rowell Brokaw Architects
Phone:
E-mail:
Phone: 541-485-1003
Fax:
Address: 1203 Willamette Street, Suite 210, Eugene, OR 97401 E-mail lorri rowellbrokaw.com
Agent Signature:
If the applicant is other than the owner, the owner hereby grants permission for the applicant to act in his or her behalf, except where signatures of the owner of record are required, only the owner may sign the petition.
ASSESSOR'S MAP NO: Two Maps -See Inventory TAX LOT NO S:
ome are addressed, some are not -See Tax Lot Inventory
Area of Re uest: Acres: 21.11
Existing Use: Various - Residential, Commercial, Vacant
S uare Feet:
Proposed Use: Residential/Commercial Mixed-Use Master Planned Development
See Inventory
Required Property Information (City Intake Staff: Complete This Section)
Reviewed Case No.: Date: By: (initials)
Project No.: I Placard:
Application Postage Fee: Total Fee: Fee:
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