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HomeMy WebLinkAboutApplication APPLICANT 8/20/2008 .. City of Springfield Development Services Department 225 Fifth Street . Springfield, OR 97477 Land Division Plat Partition, Subdivision Applicant Name: VF.R..I\J g~NS(YV <:'88-8&'7'7 Company: [Address: '1 4-0 /-It>> oj ") 'i' N. IAPPlicant's Rep.: DJ4ur=: CcJL.l...I/o,,{'. Icompanv: 7550(. g/.'-tE wrr', .5('1-100"/, I?:D IAddress: Co -rr/l(';.r=. r;A'() liE... . 0""- 974-24- , . . '[property Owner: t:: '-1 GE",II/6 'j '7 4-eJJ Company: Address: j Phone: 7/_ 7-~ 790 I Fax: I I -------- Phone: I Fax: I I".. <- IASSESSOR'S MAP NO: /"7 - 02 -<r'? - 4-1 ITAX LOT NOeS): Property Address: Size of Property: / B z c. (, 'Acres n Sauare Feet IT!-- Iproposed Name of Subdivision: '/DescriPtion of. If you are filling in this form. by hand, please attach your proposal description to this application. Proposal: 3 PAl? /'E/ ,,0.14,;//-1///1/ l>LE /j1.,II/.J:) l""/9 J2.. r/ r/(:~ Ai IExistino Use: vlt/c/-l/\/-r I Tentative Case #:5,-<",- 2'..1', -"''''bll 1# of Lots/par~els: 3 lAva. Lot/Parcel Size: 1: t"U'D sf IDensitv: 7 du/acre Si natures: Please si nand rint our name and date in the a ro riate box on the next ;GO} Associated Applications: 2,u6 7...r;u a.. _ ~I \ (....(..e..&) Ipre-sub Case No.: PRE2DDIb-0l902;8 Date: 'I Reviewed by: Case No.: ~ () ~ CO -C'5tft'\? <() Date: ~ /-z;.,./G~I Reviewed by: ~ /'f)f( Application Fee: $~(q II lTechnical Fee: $ 13~ 85 Ipostaae Fee: $0' TOTAL FEES: $ 2..3/ O. <35 I PROJECT NUMBER: 6'Rj ~-=+_6b\~ ~ -OOl.i;'"~Mi~. Revised 1/1/08 Molly Markarian 1 of 6 AUG 2 0 2008 Original Submittal .. Owner Signatures This application form is used for both the required pre-submittal meeting and subsequent complete application submittal. Owner signatures are required at both stages in the application process, An application without the Owner's original signature will not be accepted. Pre-Submittal The undersigned acknowledges that the information in this application is correct and accurate for scheduling of the Pre- Submittal Meeting. Owner: Date: Signature Print Submittal I represent this application to be complete for submittal to the City. Consistent with the completeness check performed on this application at the Pre-Submittal Meeting, I affirm the' information 'identified by the City as necessary for processing the application is provided herein or the information will not be provided if not otherwise contained within the submittal, and the City may begin processing the application with the information as submitted. This statement serves as written notice purs'!ant to the requirements of ORS 227.178 pertaining to a complete application. Owner: c. /~~ Signature Date: g~Zo -0& \JSIl-A/ w. g,~.N.so,^, Print Date Received: AUG 2 0 2008 Original submittal.... Revised,.l/l/OS Molly Markarian 20f6