HomeMy WebLinkAboutApplication APPLICANT 8/20/2008
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City of Springfield
Development Service.s Department
225 Fifth Street
Springfield, OR 97477
Date Received:
AUG 2 0 2008
Serial Property line Adjustment Original Submittal
Applicant Name: John Nepute
,Icompany:
. .
54l-729-0299
l49l Wimbledon PI.
OR. 97477
IAPplicant's Rep.:
Icompany:
!Address:
Mike Kaiser
Poaqe Enqineerinq & Survevinq, INC
P,O, Box 2527
Phone: 541-485-4505
Fax:
541-485-5624
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IAssessors Map #: 17 03 34 22
I Property Address: '1491 Wimbledo~ PI. (TL 815) &
'IPropertyowner: John W, & Brenda M, Nepute
ICompany:
IAddress:
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IAssessors Map #: 17 03 34 22
I Property Address:
I Property Owner:
Icompany:
OR 9740'2.
PROPERTY 1
I ?1.~&_Lot 1 River Groven 7/100' I
Tax Lot #: i --1 ---- J
Oak Meadows PI. (Lot .~ River Grove), SDfd, OR I
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Phone: 54l-726-0299
Fax:
l49l Wimbledon PI,
OR 97477
PROPERTY 2
ITax Lot #:
816
l479 Wimbledon PI, Sprihqfield, OR 97477
Christopher 0, & Meadrith L, Winters
Phone: 541-741-6031
Fax:
'1479 Wimbledoh PI.
OR 97477
I Description of IF you are filling in this'Form' by hand, please attach your proposal description to this application.
. Proposal: Adiust propertV.boundaries per the owners instructions,
,[Si ~atures: Please si n and print your name and date in the appro
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Ass?ciated Applications: - S ill) r - rxJ03'-f P ki,- Signs: ~~..s
I Case No.: s: Ltl\ )OO( - () oD3 r I Date: ~ / JO I at Reviewed by: i1,.{,?z.vJ
IAPPlication Fe~: $ laLf-to'&O ITechnical ~ee; $ IIn230 Ipostaqe Fee: $ ltoo I
ITOTAL FEES: $ I Lf 08,' W I PROJECT NUMBER: P rLJ ~
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Revised 1/1/08 Molly Markarian
1 of 4
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Signatures
Applicant:
Property
Owner 1:
Property
Owner 2:
The undersigned acknowledges that the information in this application is correct and accurate.
~\~V
Sigtge\
John Nepute
Print
Date:
o \ "
",' ,"y' 0"
If the applicant is not the owner, the owner hereby grants permission for the applicant to act in his/her behalf.
~~~~~ Dat.,
8'h-'~
John W. Nepute & Brenda M, Nepute
Print
If the applicant is not the owner, the owner hereby grants permission for the applicant to act in his/her behalf.
(b~~~'lr-t\(I.t;< ~ft! .J#f-,.. ~ate:
'slg;;~tu~'- \: L/ .
, .
?f'-r1--D ~
Christopher O. Winters & Meadrith L. Winters
Print
Revised 1/1/08 Molly Markarian
Oate ReceiVed:
AUG 1 0 100S
Original SubmittaL
2 of 4 '