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HomeMy WebLinkAboutApplication APPLICANT 2/29/2008 City of Springfield Development Services Department 225 Fifth Street Springfield, OR 97477 - Annexation Application Type IV -1Z~ LU~ ~~a..1.../ . -. ,..... ('~1- ~ ~~ldJ . Phone: I Fax: I I Applicant Signature: . I =__-" " ......Z~~~'2_,'.~.~.,_,~"""""',.'OC.;'*_"...."'''''~....;_~,=.""''''''._m,v.'''''.~~...___'''".,'''"'',,''=_.d..'~,._~u,..-", Property Owner: I ~J/,~ !Phone: r Company: I .Lf/L/o/b '7'y\C.flDfi1~t ) ~ IFax:.1 I Address: .1 .YJfV'Mf#t~~j}./L/ ()R- ~7'fo,3 I lowner Signature: I, () "~'~'~if:'."'f,.,~'9.~':\l<i'''~'''t~~'Wl.'''~'~~;;-'''''"'0''~;''''~"'''' .!f~~~J?Bl!~~9-~~.~SR.:aJl~~; .f where'S'anatlJres;of,\tHp'ownKr:of~or(Jl . UI Applicant Name: Company: Address: ASSESSOR'S MAP NO: /7- 03-3?:r/ / TAX LOT NO(S): 10 00 Property Address: B.3:5 ~~ M.J/ J Area of Request S~uare Feet: Acres:. "-15. ~ ,,"=...~~~._- < ,'-'~'^""-"'''.;,"-q"""~",-'""~"~--_._,,=_.,,,-"=..,,,,,.,,,.__"'~'_"____' """,""""""-, _.,;"_._~=_,,,,~._~ '~'.,W'-'"",_,"~'_~_,,,,C~,""_"'__"",,,~~.___.~'.'__."''''_.'''''' M...."_.""', '--""'"''''''''''''''''=",.''0-''' .",-,. ,,_. Existing Use(s) of Property: 1 I Proposed Use' of Property: '1\~cJ.uJ UJ~ ~~ REF': I-R..P200r.,,- OOOQ7 " . 'i4-vtM.vLLi7/ht..../# EC:SP 07-(P(] 'Ie {JJ().AiilLXi1t/LPJ.J).p~ ,-~;;J lJ}u I ~-Lf--{)7 E'l.S 07-&/ . -. ~ LR. P20{)t-OOC03 ~ Postage Fee: Date: .:J--2S1-ot Reviewed By: (initials) f( ~ Case No.: Application Fee: I ,..~-_...~ Total Fee: U 541-726-3753 Phone 541-726-3676 Fax Description Mise Fee s:\Tidemarklforms\easefees I.rpt Trans Code 1279 Fees Associated With Case #: LRP20( 10003 835 ANDERSON LN CITY OF SPRINGFIELD Revenue Account Number 100-00000-425002 Page I of 1 Date Calculated Original Ca-Jeulated By Amount 2/29/2008 KAL 0.00 Total Due: 2/29/2008 11:19:14AM Amount Due 0.00 SO.OO