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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: Revised 04/17/2023 slm Page 8 of 16