HomeMy WebLinkAboutApplication APPLICANT 12/14/2006
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CITY OF SPRINGFIELD
NOTICE OF BALLOT MEASURE 37
APPLICATION COMPLETENESS REVIEW
Date Received ~/D,",
Planner MM
THIS IS NOT A DECISION ON YOUR BALLOT MEASURE (BM) 37 APPLICATION
Date December 14, 2006
Property Owner
Property Owner Representative
Name Marlin Schultz
First Baptist Church of Eugene
Address 3550 Fox Meadow Road
Eugene, OR 97408
Bill Kloos
Law Office of Bill Kloos PC
375 W 4th Street, SUite 204
Eugene, Or 97401
Re Ballot Measure 37 Demand Application #
LRP2006-00034
Dear Mr Schultz,
Thank you for submitting your BM 37 Demand Application on December 1, 2006 The
Spnngfleld MUnicipal Code (SMC), Seclions 2 900 through 2 995, contains the City's regulations
governing the application submittal and processing of BM 37 Demand Applications SpeCifically,
Section 2 930 discusses the application submittal process and Section 2 935 discusses the
application completeness process These sections must be addressed before application
processing can occur
The SMC states that the property owner filing a BM 37 Demand IS responsible for the
completeness and accuracy of the application and supporting data Therefore, unless
speCifically waived by the City Manager after a Pre-Demand Conference, the following
Informalion must be submitted
1 Application Form A completed application form (the front page of thiS packet must be
filled out) to Include a) The name, mailing address, telephone number and authonzatlon
signatures for all the property Owners or contract Owners, b)The deSignated Owner or
agent who IS the Owner's deSignated representative regarding the processing of the
application, and c) Every Lessee and Lessor of the property and their mailing address and
telephone number Please use additional sheets If all the Information cannot fit on the front
page
2 Property Descnptlon A legal descnptlon and tax lot number of the property as well as a
street address for the property (If any)
_ 3 Title Report A title report Issued Within 30 calendar days of the application's submittal,
Including a) TItle hiStOry, b) A statement of the date the Owner acqUired Ownership of the
property, c) The ownership Interests of all Owners of the property, d) Every person or
entity holding a lien against or secunty Interest In the property, and (e) Every person or
entity holding a future, contingent, or other Interest of any kind In the property
4 Copy of Regulations Applicable to the Demand A statement speCifically IdenlifYlng all
the sections of the Spnngfield MUniCipal Code, Spnngfleld Development Code, or other
current land use regulation that allegedly restnct(s) the use of the real property and
allegedly causes a reduction In the fair market value of the property
5 Demand Statement A statement speCifYing a) The proposed use of the property, b) The
amount of the Demand and the fair market value of the property before and after
'r
Date Received lz-/'i /n,t.
Planner MM
application of the Identified land use regulation, c) To whom any compensation determined
must be paid and why the Owner IS entitled to compensation under the reqUIrements of
the provIsions added to ORS Chapter 197 by Ballot Measure 37 (see also Item 6 below)
6 Demand Criteria A statement addreSSing all of the follOWing cntena a) The City has
either enacted or enforced a land use regulation that restncts the use of pnvate real
property or any Interest therein, b) The restnctlon on use has the effect of redUCing the fair
market value of the subject property or any Interest therein, c) The Identified land use
regulation was enacted, enforced or applied after the current Owner of the property
became the Owner, and d) The Identified regulation IS not an exempt regulation as defined
In SMC Section 2 920(4)
7. Appraisal An appraisal by an appraiser licensed by the Appraiser Certlficalion and
Licensure Board of the State of Oregon supporting the amount of the Demand that
addresses the follOWing Issues a) The appraisal must expressly note all eXisting
Infrastructure limitations and value the property Without an assumption that the
Infrastructure Will be Improved at governmental expense or through discretionary
governmental action, b) The appraisal must expressly address and indicate the amount of
the alleged reduction In the fair market value of the property at the time a complete
Demand IS submitted to the City by shOWing the difference In the fair market value of the
property resulting from enactment or enforcement of each of the Identified regulalions
IndiVidually Identified In the Demand and after the appllcalion of all of the Identified
regulations cumulatively, and c) The appraisal must expressly conSider the effect of the
aforesaid Ballot Measure 37 on the availability of other real property including the ex1ent to
which the supply of such other real property IS or Will be Increased due to the non-
enforcement, discontinuance, repeal or waiver of regulations follOWing the passage of
Ballot Measure 37 (see also Item 11 below)
8. Additional Documentation. Copies of any leases or Covenants, Conditions and
Restnctlons ("CCR's) applicable to the real property, If any, that Impose restnctlons on the
use of the property
9. Access to Property Wntten permiSSion for access to the property by the City Manager or
his/her deSignee Including but not limited to agents or appraisers necessary to evaluate
and appraise the property and the Demand for purposes of determln'ng whether or not
regulatlon(s) have had the effect of redUCing the fair market value of the property
10 Fee A Demand shall Include a fee established by CounCil resolution to at least partially
cover the City's cost of processing the Demand If a Demand IS determined to be a Valid
Demand the City shall reimburse the Owner for any fee paid
11. Statement Regarding Exempt Land Use Regulations A statement by the Owner
making the Demand of why the follOWing exemptions to the requirement for compensation
do not apply a) Restncts and prohibits commonly and hlstoncally recognized public
nUisances under common law, Including but not limited to SMC Chapter 5 as amended
from time to time and the cnmlnallaws of the State of Oregon and the City of Spnngfield,
b) Restncts or prohibits actiVities for the protection of public health and safety, such as fire
and bUilding codes, health and sanitation regulations, and pollution control regulations, c)
Is reqUired to comply With federal law, d) Restncts or prohibits the use of property for the
purpose of selling pornography or performing nude danCing, or e) Was enacted pnor to the
date of the acquIsItion of the property by the Owner, or pnor to acqUlsllion by a family
member of the Owner who owned the subject property pnor to the acquIsition or
Inhentance by the Owner, whichever came first [If "family member" status IS claimed, It
must also be addressed In the title report reqUired by Item 3 above]
Your BM 37 Demand application has been reViewed for completeness In accordance With SMC
Section 2 935 The City Manager has determined that
2
r
LJdte ReceIved
Planner MM
/1/)i.b~
[] Your application IS complete for review and the 180 day review penod began on
[Xl Your application IS Incomplete because It did not address the follOWing Items above,
therefore, you must submit
7 An appraisal by a licensed Appraiser to Justify the Claim
Because your Demand application was found to be Incomplete Within 10 calendar days of the
date on this notice (December 26, 2006), you may submit a wntten statement Indicating either
an Intent to submit the missing Information or a refusal to submit the missing Information
1 If you Indicate In wntlng that you Intend to submit the missing Information, this Will
constitute a waiver of the 180 calendar day time line for as long as It takes to supply the
missing Informalion The 180 calendar day tIme line WI" then begin on the date the
missing information IS submitted
2 If you Indicate In wntlng you do not Intend to submit the missing Information, the 180
calendar day time line Will begin on the date the Demand was submitted to the City
(December 1, 2006)
3 If you do not respond In wntlng Within 20 days of the date of thiS notice (January 2, 2007),
the 180 calendar day time line Will begin on the date the Demand was submitted to the
City (December 1, 2006)
If you have any questions concerning thiS notice, please call 541 726 3775
Jr~zD1
Mark MetZger~
Planning Supervisor
cc GinO Gnmaldl, City Manager
Bill Gnle Development Services Director
Greg Mott, Community Planning and ReVitalization Supervisor
Sarah Summers, Planning Supervisor
3
,
,
,
Date ReceIved .11::1.1:1/ of:,
Planner MM
CITY OF SPRINGFIELD
NOTICE OF BALLOT MEASURE 37
APPLICATION COMPLETENESS REVIEW
THIS IS NOT A DECISION ON YOUR BALLOT MEASURE (BM) 37 APPLICATION
Date December 14, 2006
Property Owner
Property Owner Representative
Name Marlin Schul12
First Baptist Church of Eugene
Address 3550 Fox Meadow Road
Eugene, OR 97408
Bill Kloos
Law Office of Bill Kloos PC
375 W 4th Street, SUite 204
Eugene, Or 97401
Re Ballot Measure 37 Demand Application #
LRP2006-00034
Dear Mr Schultz,
Thank you for submitting your BM 37 Demand Application on December 1, 2006 The
Springfield Municipal Code (SMC), Seclions 2 900 through 2 995, contains the City's regulations
governing the application submittal and processing of BM 37 Demand Applications Specifically,
Section 2 930 discusses the application submittal process and Section 2 935 discusses the
application completeness process These sections must be addressed before application
processing can occur
The SMC states that the property owner filing a BM 37 Demand IS responsible for the
completeness and accuracy of the appllcalion and supporting data Therefore, unless
specifically waived by the City Manager after a Pre-Demand Conference, the follOWing
Information must be submitted
(1) A completed application form
(2) a) the name, mailing address, telephone number and authorlzalion signatures for all the
property owners or contract owners, and the designated owner or agent who IS the
owner's designated representative regarding the processing of the application, and b)
every lessee and lessor of the property and their mailing address and telephone number
(3) A legal description and tax lot number of the property as well as a street address for the
property (If any)
(4) A title report Issued Within 30 calendar days of the application's submittal, including
a) title history, b) a statement of the date the owner acqUired ownership, c) the ownership
Interests of all property owners, d) every person or entity holding a lien against or security
Interest In the property, and e) every person or entity holding a future, contingent, or other
Interest of any kind In the property
(5) A statement speCifically IdentifYing all the sections of the SMC, Springfield Development
Code, or other current land use regulation that allegedly restrlct(s) the use of the real
property and allegedly causes a reduction In the fair market value of the property
(6) A statement speCifYing a) the proposed use of the property, b) the amount of the Demand
and the fair market value of the property before and after application of the Idenlifled land
use regulalion, and c) why the owner IS enl1lled to compensation under BM 37
.
- - --- (13Vl- D!.-J-.., )1,l..;~
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Date Rb"el\led
Planner MM
lib /1'1 I Qj
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,
(7) An appraisal by an appraiser licensed by the Appraiser Certification and Licensure Board
of the State of Oregon supporting the amount of the Demand that addresses the following
Issues a) the appraisal must expressly note all eXisting Infrastructure Irmltatlons and value
the property Without an assumption that the Infrastructure will be Improved at
governmental expense or through discretionary governmental aclion, b) the appraisal must
expressly address and indicate the amount of the alleged reduclion In the fair market value
of the property at the time a complete Demand IS submitted to the City by showing the
difference In the fair market value of the property resulting from enactment or enforcement
of each of the Identified regulations IndiVidually Identified In the Demand and after the
appllcalion of all of the Identified regulations cumulatively, and c) the appraisal must
expressly conSider the effect of the aforesaid BM 37 on the avallabllrty of other real
property Including the extent to which the supply of such other real property IS or Will be
Increased due to the non-enforcement, discontinuance, repeal or waiver of regulations
follOWing the passage of Ballot Measure 37
(8) Copies of any leases or Covenants, Conditions and Restrlclions ("CCR's) applrcable to the
real property, If any, that Impose restrictions on the use of the property
(9) Written permission for access to the property by the City Manager or other designated City
staff including but not limited to agents or appraisers necessary to evaluate and appraise
the property and the Demand for purposes of determining whether or not regulatlon(s)
have had the effect of redUCing the fair market value of the property
(10) A statement Indicating to whom any compensation determined must be paid
(11) Fees and Blllrng a) A Demand shall Include payment of a $ 500 00 fee to partially cover
the City's cost of processing the Demand
Note The City Manager may waive the fee If the Owner IS unable to payor for other
purpose necessary for the public health, safety and welfare after a Pre-Demand
Conference, b) the City Manager shall maintain a record of the City's actual cost of
processing the Demand, including the cost of obtaining any Informalion reqUired by SMC
Section 2 930 which the Owner do'es not prOVide to the City, c) In the event that the fee IS
not suffiCient to cover all of the City's costs or In the event the Owner fails to pay any fees
not waived, then the Owner shall pay the fee or balance owed, If any, upon receipt of an
appropriate blllrng statement from toe City, d) If the fee paid IS more than the amount of the
City's actual costs In processing the Demand, then the excess shall be returned to the
Owner, e) In the event that the fee IS not paid In full Within 30 calendar days after receipt of
blllrng, the City may take any enforcement actions prOVided by law to collect such fee
Including but not Irmlted to filrng a Iren on the property, and f) If a Demand IS determined to
be a Valrd Demand the City shall reimburse the Owner for anyJee paid
Your BM 37 Demand applrcalion has been reViewed for completeness In accordance With SMC
Section 2 935 The City Manager has determined that
[Xl Your applrcatlon IS complete for review and the 180 day review period began on
December 1, 2006
[] Your applrcatlon IS incomplete because It did not address the follOWing Items above
If you have any questions concerning thiS notice, please call 541 726 3775
.
Date Received
Planner MM
Sincerely,
Mark Metzger,
Planning Supervisor
cc Gino Gnmaldl, City Manager
Bill Gnle Development Services Director
Greg Molt, Community Planning and Revitalization Supervisor
Sara Summers, Planning Supervisor
{viti 16~
,
Date Received $/p~.
Planner MM
FIRST BAPTIST NOTES
Does Measure 37 ownership, lien and encumbrance report = a title report?
2 Does Competitive Market AnalysIs = an appraisal?
3 1-5 IS the offic181 boundary between Eugene and Spnngfield - the subject property IS entlrely
m Eugene siLane County s areas of junSdlctlOn
4 How can the CouncIl Issue a statement !,,uaranteemg they wIll vote m favor of the any three
junsdlctlOn deCISIOn on Metro Plan deSIgnatIOn amendments DLCD's nev> admmlstratlVe
rules effectIve after 12/04 - the property owner must submIt an apphcatlOn requITIng CouncIl
revlew/applOval and If that declslOn IS demed, the property owner can then file a BM 37
ClanTI
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~ r' ,." O"F""F"'I'"C' g'"A'i""'u"'S "iE
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6 Certified Fee I
o Postmar1o;
o RetumRecleptFee I
(Endorsement Requlrecf) Here
o Restrlcted Delivery Fee I
o (Endorsemenl Required)
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o Total Postage & Fees I $
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D Marlln Schultz, Flrst Baptlst Church
I'- 'lltroet,Ap;( u u - _u_ - uu u - - __u u__
orPOBoxt.NOo of Eugene
'"city-StSlB,ZJP+435So-- Fox -Hoi-l-ow--Road m - - -
Certified Provides
. A maJllng l......dlpt
. A unique identifier for your maJlplece
. A record 01 delivery kept by the Postal Service for two years
Important RemInders
. Certified Mall may ONLY be combined with First.Class Mall8 or pnonty Mallall
. Certified Mall Is not available for any crass of International mall
. NO INSURANCE COVERAGE IS PROVIDED wIth CertIfied Man For
valuables. please conSider Insured or Registered Mall
. For an addItional feel a Return Recefptmay be requested to provide proof of
delivery To obtain Rerum ReceIpt service. prease complete and attach a Rerum
Receipt (PS Form 38111 to the article and add applicable postage to cover the
fee Endorse mailplece Return Receipt Requested" To receIVe a fee wwver for
a duplicate return receIpt, a USPSe postmark on your CertIfied Mall receIpt Is
required
. For an addItional feB. delivery may be restricted to the addressee or
addressee's authorized agent Advise the clerk or mark the mallpJece with the
endorsement -RestnctedDellvery-
. If a postmark on the Certified Mall receIpt is deSIred please present the arti-
cle at the post office for postmarking If a postmark on the Certified Mall
receipt Is not needed detach and affix label with postage and mall
IMPORTANT Save this recelpl and present It when making an inqUiry
Internet access to delivery Information IS not available on mail
addressed to APOs and FPOs
(9SJ911St;jJ &Joe eunr J')08t WJO~ Sd
L,ale Received
Planner MM
/1/!t-l (of
AFFIDAVIT OF SERVICE
STATE OF OREGON }
}ss.
County of Lane }
I, Brenda Jones, being first duly sworn, do hereby depose and say as follows
1 I state that I am a Secretary for the Planning DIvIsion of the Development
Services Department, City of Springfield. Oregon
2 I state that In my capacity as Secretary, I prepared and caused to be
mailed copies of LRP2006-oo034 First Baptist Church of Eugene;
Notice of BM 37 Application Completeness Review Letter See
attachment "A") on December 14, 2006 addressed to (see Attachment
"B"), by causing said letters to be placed In a U S mall box with postage
fully prepaid thereon
hw.~
Brenda Jones 0
Planning Secretary
~STATE OF OREGON, County of Lane
~~) } 4; 2006 Personally appeared the above named Brenda Jones,
Secretary, who acknowledged the foregoing Instrument to be their voluntary act Before
me
6E::~""-~~----'--- -
--~~~oFFiciALSEAL' ._~ ..~
'. NANCY MACHADO ,
, , . NOTARY PUBLIC-OREGON j
I COMMISSiON NO 380103 I
,~______~~~~,::~~~~S.:!~~1~_~, j
CITY OF SPRINGFIELD
NOTICE OF BALLOT MEASURE 37
APPLICATION COMPLETENESS REVIEW
Date Received Jk/Ji/O}
Planner MM
THIS IS NOT A DECISION ON YOUR BALLOT MEASURE (BM) 37 APPLICATION
Date December 14, 2006
Property Owner
Property Owner Representative
Re Ballot Measure 37 Demand Application #
Bill Kloos
Law Office of Bill Kloos PC
375 W 4th Street, SUite 204
Eugene, Or 97401
LRP2006-00034
Name Marlin Schultz
First Baptist Church of Eugene
Address 3550 Fox Meadow Road
Eugene, OR 97408
Dear Mr Schultz,
Thank you for submltllng your BM 37 Demand Applicallon on December 1, 2006 The
Spnngfleld MUnicipal Code (SMC), Sections 2 900 through 2 995, contains the City's regulallons
governing the applicatIOn submittal and processing of BM 37 Demand Applications SpeCifically,
Secllon 2 930 discusses the application submittal process and Section 2 935 discusses the
application completeness process These sections must be addressed before application
processing can occur
The SMC states that the property owner filing a BM 37 Demand IS respon]?lble for the
completeness and accuracy of the applicallon and supporting data Therefore, unless
speCifically waived by the City Manager after a Pre-Demand Conference, the follOWing
Informallon must be submitted
1 Application Form A completed application form (the front page of-this packet must be
filled out) to Include a) The name, mailing address, telephone number and authonzatlon
signatures for all the property Owners or contract Owners, b)The designated Owner or
agent who IS the Owner's designated representative regarding the processing of the
application, and c) Every Lessee and Lessor of the property and their mailing address and
telephone number Please use addlllonal sheets If all the Information cannot fit on the front
page
2 Property Descnptlon A legal descnptlon and tax lot number of the property as well as a
street address for the property (If any)
3 Title Report A title report Issued Within 30 calendar days of the applicallon's submittal,
including a) Title hiStOry, b) A statement of the date the Owner acqUired Ownership of the
property, c) The ownership Interests of all Owners of the property, d) Every person or
enllty holding a lien against or secunty Interest In the property, and (e) Every person or
entity holding a future, conllngent, or other Interest of any kind In the property
4 Copy of Regulations Applicable to the Demand A statement speCifically IdentifYing all
the sections of the Spnngfield MUniCipal Code, Spnngfleld Development Code, or other
current land use regulation that allegedly restnct(s) the use of the real property and
allegedly causes a reduction In the fair market value of the property
5 Demand Statement A statement speCifYing a) The proposed use of the property, b) The
amount of the Demand and the fair market value of the property before and after
I
.
Date Received ~jof
Planner MM
applicatIOn of the Identified land use regulallon, c) To whom any compensation determined
must be paid and why the Owner IS entitled to compensallon under the reqUIrements of
the provIsions added to ORS Chapter 197 by Ballot Measure 37 (see also Item 6 below)
6 Demand Criteria A statement addreSSing all of the follOWing criteria a) The City has
either enacted or enforced a land use regulallon that restncts the use of pnvate real
property or any Interest therein, b) The restnctlon on use has the effect of redUCing the fair
market value of the subject property or any Interest therein, c) The Idenllfled land use
regulation was enacted, enforced or applied after the current Owner of the property
became the Owner, and d) The Identified regulatIOn IS not an exempt regulation as defined
In SMC Section 2 920(4)
7 Appraisal An appraisal by an appraiser licensed by the Appraiser Certification and
Licensure Board of the State of Oregon supporting the amount of the Demand that
addresses the follOWing Issues a) The appraisal must expressly note all eXisting
Infrastructure limitations and value the property without an assumption that the
Infrastructure Will be Improved at governmental expense or through discretionary
governmental action, b) The appraisal must expressly address and indicate the amount of
the alleged reduction In the fair market value of the property at the time a complete
Demand IS submitted to the City by shOWing the difference In the fair market value of the
property resulting from enactment or enforcement of each of the Idenlified regulations
indiVidually Idenllfled In the Demand and after the appllcallon of all of the Identified
regulations cumulallvely, and c) The appraisal must expressly conSider the effect of the
aforesaid Ballot Measure 37 on the availability of other real property Including the extent to
which the supply of such other real property IS or Will be Increased due to the non-
enforcement, discontinuance, repeal or waiver of regulallons follOWing the passage of
Ballot Measure 37 (see also Item 11 below)
8 Additional Documentation. Copies of any leases or Covenants, Conditions and
Restnctlons ("CCR's) applicable to the real property, If any, that Impose restrictions on the
use of the property
9 Access to Property Wntten permiSSion for access to the property by the City Manager or
his/her designee Including but not limited to agents or appraisers necessary to evaluate
and appraise the property and the Demand for purposes of determln'ng whether or not
regulallon(s) have had the effect of redUCing the fair market value of the property
10 Fee A Demand shall Include a fee established by Council resolution to at least partially
cover the City's cost of processing the Demand If a Demand IS determined to be a Valid
Demand the City shall reimburse the Owner for any fee paid
11 Statement Regarding Exempt Land Use Regulations A statement by the Owner
making the Demand of why the follOWing exemptions to the reqUirement for compensation
do not apply a) Restncts and prohibits commonly and hlstoncally recogmzed public
nUisances under common law, Including but not limited to SMC Chapter 5 as amended
from time to time and the cnmlnallaws of the State of Oregon and the City of Springfield,
b) Restncts or prohibits actiVities for the protection of public health and safety, such as fire
and bUilding codes, health and samtallon regulallons, and pollution control regulallons, c)
Is reqUired to comply With federal law, d) Restncts or prohibits the use of property for the
purpose of selling pornography or performing nude dancing, or e) Was enacted pnor to the
date of the acqulslllon of the property by the Owner, or pnor to acqUisition by a family
member of the Owner who owned the subject property pnor to the acquIsition or
Inhentance by the Owner, whichever came first [If "family member" status IS claimed, It
must also be addressed In the title report reqUired by Item 3 above]
Your BM 37 Demand application has been reViewed for completeness In accordance With SMC
Section 2 935 The City Manager has determined that
2
,
Date Received
Planner MM
(1/1 tyJllJ~
[] Your application IS complete for review and the 180 day review penod began on
[X] Your application IS Incomplete because It did not address the follOWing Items above,
therefore, you must submit
7 An appraisal by a licensed Appraiser to Justify the Claim
Because your Demand application was found to be Incomplete Within 10 calendar days of the
date on this notice (December 26, 2006), you may submit a wntten statement indicating either
an Intent to submit the missing information or a refusal to submit the missing Information
1 If you Indicate In wntlng that you Intend to submit the missing Informalion, this Will
constitute a waiver of the 180 calendar day time line for as long as It takes to supply the
missing information The 180 calendar day lime line Will then begin on the date the
missing Information IS submitted
2 If you Indicate In wntlng you do not Intend to submit the missing information, the 180
calendar day time line Will begin on the date the Demand was submitted to the City
(December 1, 2006)
3 If you do not respond In wnling Within 20 days of the date of this notice (January 2, 2007),
the 180 calendar day time line Will begin on the date the Demand was submitted to the
City (December 1, 2006)
If you have any questions concerning this notice,. please call 541 7263775
~;1)
Mark Metzg~
Planning Supervisor
" -
cc Gino Gnmaldl, City Manager
Bill Gnle Development Services Director
Greg Mott, Community Planning and ReVitalization Supervisor
Sarah Summers, Planning Supervisor
3
SPRINOFIEI.D
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DEPARTMENT
3TREET
LD OR 97477
SPRINCFIEI.D
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DEPARTMENT
,TREET
LD, OR 97477
Date Received
Planner MM
Marl~n Schultz
F~rst Baptist Church of Eugene
3550 Fox Meadow Road
Eugene, Oregon 97408
B~'J Kloos
Law Off~ce of B~ll Kloos
375 W. 4th Street, Su~te 204
Eugene, Oregon 97401
,JI'( IT>~
, .
Certlned Fee I
Return Reclept Fee
(Endorsement Required)
o CJ Restncted Delivery Fee
D CJ (Endorsement RequIred)
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Marlln Schultz, Flrst Baptlst Church
'Stieet Apt No. aT Eu"ge-rieh
or PO Box No
'c,,,, Stale,ZlP+4:J~~o- FoX' tlollow' Road
EUlene, Ore?on 97408
"..h~a'flt:r.:1 M~fwtt:.w.il'II;:~flit.~W;Q~,~'~~-1":.t.u.'I:rll~;"~~jQI:I'I~I.'IIIII..J1 r.I.."~
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'C;g~f~E[E.r!1~S SEC!'D.N,.pN. DE.iI.vE"Y~ ..; ~ ;, ~>:., ~;
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. Complete Items 1, 2, and 3 Also complete
Item 4 11 Restncted Delivery IS desIred
. Pnnt your name and address on the reverse
so that we can return the card to you
. Attach thIs card to the back of the mallplece,
or on the front If space pennlts
1 Article Addressed to
A Signature
x
o Agent
o Addressee
I C Date of Delivery
D Is delivery address drfferent from Item 1? 0 Yes
If YES, enter delivery address below 0 No
B Received by (Printed Name)
Marlln Schultz
Flrst Baptlst Church of Eugene
3550 Fox Meadow Road
Eugene, Oregon 97408
3 Service Type
o Certified Mall 0 Express Mall
o Registered 0 Return Receipt for Mert:handlse
o Insured Mall 0 COD
4 Resl1ioted Delivery? (Extra Fee) 0 Yes
2 Article Number
(Transfer from setvice label)
PS Form 3811 , February 2004
7003 0500 0005 1258 8516
DomestIC Return Receipt
102595-02 M-1540
Date ReceIved
Planner MM
1~/{1 (o}