HomeMy WebLinkAboutApplication APPLICANT 6/12/2008
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]City of Springfield
Development Services Department
225 Fifth Street
Springfield, OR 97477
land Division Plat
Partition, Subdivision
PRE.SUBMITTAL REC'O
JUN 1 2 200~
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Applicant Name: \lIE I!. AI (2,(=_N,<;ON
Icompanv:
IAddress: Cf 4-n, /.!wv 99 AI,Eur_r=':/o,/!S ~.,e
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IAPPlicant's Rep,: J:>AI/F: 1'.0 LLIEI?
Icompany: 7 5~o(p F?LuE. m~uNr/4o'I/ '5/":t-ItrlJt.- /2.P. Fax:
IAddress: (!.OTT/l;-:'E c.-~~Ue, OK 974-Z4-
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IproDertvOwner: "" J4 n-l,o:
<"' Ic~mDanY:
IAddress:
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IASSESSOR'S MAP NO: /7-07--33-4-1 ITAXLOTNOCS): 2.0/
I Property Address: IJr!f ('.14 Air - 584-h (/ A 5trb::r
ISize of Property: /f12C,L.
Iproposed Name of Subdivision:
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I Description of' If you are filling in this form by hand, please attach your pr~posal description to this application,
Proposal: ::5 P/9;1 t'J=:/_ /-'ANR/4NJ>/~ LAND "o11"eTI,1 &/'/
IExistina Use: 114/'J/Il/-r- I Tentative cas-e #: 51:18 :l "OB -"001/ '
1# of Lots/parc~ls: :3 ,IAVCl. Lot/Parcel Size: (.,088: sf IDensity: 7 du/acre
Signatures: Please sign and print your name and date in the ap'propriate box on the next
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1.88,-8817
9 7:4-02.
Phone: 7(,.7-0790
I Phone;
IFax:
Acres D
Sauare Feet ~
Required Project Infor . n (Gity Intake Staff: complete this section)
Associated Applications:
Ipre-sub Case No.: frt ').(}Jf ''In'J.~r
Icase No.:
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Application Fee: $ V'JlO
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TOTAL FEES: $ J \.0
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I Date: {~I / 'J--/ M Reviewed bv:
I Date: Reviewed by:
ITechnical Fee: $ Ipostage Fee: $0
I PROJECT NUMBER: P ~J 7-t;Q7.-pDI Oh
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Owner Signatures
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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 !!ignature will not be accepted.
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Pre-Submittal
The undersigned acknowledges that the information in this application is correct and accurate for scheduling of the
Pre- Submittal Meeting,
Owner:
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Date:
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Signature
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Print
Submittal
1
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 prov\ded 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 pursuant to the requirements of ORS 227.178 pertaining to a complete
application.
Owner:
Date:
Signature
Print
PRE.SUBMITIAL REC'O
JUN 1 2 2008