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HomeMy WebLinkAboutApplication Applicant 12/4/2024City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 Annexation Development Initiation Meeting (DIM) SPfr�INGF'IELD L' RequiredProject/ ■ ' l lcomplete! Prospective -` Applicant Name: DZA.04K . '-JwK f Phone: 0/-5-2-5- viga y Company: Address: 3a505" c� r� �. ©�� �/�5 E-mail:Fsr Prospective Applicant's Rep.: Phone: Company: Address: E-mail: Property Owner: i j%S,a,*x t /-f �rv� Al, l I av�- �-ts � Phone: Company: Address: Y70 4) 4- Z3 6 9/1, 973Z E-mail: ASSESSOR'S MAP NO: TAX LOT NOS : /I?— D — 0 �- - 0 3 D 00 Property Address: S / ,•has , o,�° S r jr. dteI�� . 7�76 Size of Property: ��� ��! Acres S uare Feet ❑ Description of If you are filling in this form by hand, please attach your proposal description to this application. Pro osa l : � r eP4-e, b wveejs- &-A FRS Acve s Existing Use. ��- Rro sed Ilse• �r City Zoni g: Metro Designation: Poaulation: Prospective Applicant: 6L r7 W - Date: I2'1-/-21 Signature 11 Print Case No.: V- -p Date: ISI Reviewed b Application Fee: $ ulTechnical Fee: $0 Posta4e Fee: $0 TOTAL FEES: PROJECT NUMBER: Revised 04/17/2023 slm 6 of 16