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HomeMy WebLinkAboutApplication PLANNER 2/29/2008 City of Springfield Development Services Department 225 Fifth Street . Springfield, OR 97477' Annexation Applkation Type IV - R.~ tu~ LU~~tU/ Applicant Name: Company: Address: ~dJ ~~A~ t aU Property Owner: Company: Address: Applicant Signature: I _'..-f'~'- "."t ~~--:___'_"'.2'-~'~~";"""-"''''' 't"-..~"'",_"""",,",,-.".,..,,,, '{)"<." ''''';';1'. ._\ ;="'-'9'<':-',. I ~. 'l)~ I / 5+0 '1<:'pjlj--,~ Lf< (Jar:;( Owner Signature: I. , ~ 'Phone:' T Fax: I . "'.', ',.. 0 .'li_~ :'--_,>, I I I I I I I L, --'-.'T>..:..,...,.....,._f.'''.'Ci.'''.-,''-'''>:.....". ..- .'".;,",,"~":' "',:. -"'_:,' .J.;;':A.."~' ,- ..', ,..; .:;;.::=-;...:.. . '_'_,,;,'~',""',,":.;r>...,.-' ,.:fr'~':-:".'!...,:'..~ -. '_;-o--"_:,,,,~-... _.,;:;; ,'$-....-~.:.,"'.~,,''"._._--::- .:'it'<h.: < ,'. ,.._....,'.;(. .~'. ., ,!'-$i~~R~~Ic:a_~J~s!;?th~r~_tQa_!;l__;~~_:~~!l~~:m~~~wL1,~~~h:req~~~~~;J?erm.i~~!,gp:J~r t!i7;aR~!I~Q~1~~F~)r, Q'~~.9~ti~L_,~ep.~!!i:-e~ceDt. ......~ wherP. .slanil.hJrf~s .nf_the ,owner-ofc:rp.cord, are- reC1ulreq. -"',P::-~tiB:i:!::';~\,;.'>,;~':~FtG0>;~-" :,::~;>-,~~~'li~X - ');;;:u0:-:s'4t\:7:>~~liET~:f>-tii;;.;f'~~'i,!~~#;:, j, ASSESSOR'S MAP NO: /7,..03-3+-22- TAX LOT NO(S): 8m ;~:::%::~~::s: .~~~~~~;!~~b8if ~:~~~~~!~: ,..~~.: 03 Existing Use(s) of Property: Proposed Use ~. of Property: ~ ~.) U)~ ~L~~tl.-L/ : U~...P2ODI- 00017 ~& EC 5P 07-3'l_ofYA'-:b..t~ 7dO~{)7 ,"",=",,-.~'::: .,..~r,,:"'.'fi;;;::~'."i'.-;~-;::S'~'i".9';:r;~:;;;<~.?t',:,.OC.l:,,~'..,.,!:f>~~,<~;. :--:'."l<~'" .o.,::~;H""-:"-'-~3::J:,,- ;],,:).'",'*'_'..<-.T::0"\~::,;.:::;-::::::!S'i:~_ff.-: ,--- - ,.-' Case No.: . Reviewed By: Lfi. P20Q'3-0o:xJZ Date: 02-:l.Cj-Or (initials) 1<cX; 541-726-3753 Phone 541-726-3676 Fax Description Mise Fee s:\Tidemark\forms\casefees I.rpt Trans Code 1279 Fees Associl'~d With Case #: LRP~ 8-00002 1540 KELLOGG RD CITY OF SPRINGFIELD Revenue Account Number Date Calculated Calculated By Original Amount 100-00000-425002 2/29/2008 KAL 0.00 Total Due: I:' Page I ofl 2/29/2008 10:52:15AM Amount Due 0.00 $0.00