HomeMy WebLinkAboutApplication PLANNER 2/29/2008
Annexation Application'Type IV -1(~&r..J W~
City of Springfield
Development Services Department
225 Fifth Street ' .
. Springfield, OR 97477
. -.
Phone:
Fax:
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Applicant Signature: I
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Property Owner: 1i::?/1'/;t:;)d' ( cujlj _' (I~A..J Phone:
Company: ~ 00 1l'!fi.uJ d./.M ~C1Jat, I Fax: ,I
Address: I ~'ff/Yt?h; ()~ <:jUN-V I
Owner Signature: I. ()'.'
Applicant Name: '
Company:
Address:
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ASSESSOR'S MAP NO: /7,D3-;).3,3+ TAX LOT NO(S): /2h{J{)j:L70{)
Property Address: . 0:>00 ~d.v;cJ~ Wa0.-- '/ I
Area of Request SQuare Feet: U .' Acref: -4. I 7 . I
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Existing Use(s)
of Property:
Proposed Use ~
of Property: Ii I ~.h.m..U IJ JtdJh J jJJdM d/r/J.u)a.tJ_
RE.f:'; 1../<..P :Loot:>- OD030
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Case No.:
J.... R P2008-00QO ,l:)
Date:
. Reviewed By:
2 -z 9-0t (initials) 'NO<
. PRJ2000-0CO'90
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541-726-3753 Phone
541-726-3676 Fax
Description
Mise Fee
s:ITidemarklformslcasefees I.rpt
Trans
Code
1279
. .
Fees Associatert. With
Case#: LRP201 l0005
600 HAYDEN BRIDGE
CITY OF SPRINGFIELD
/
Revenue
Account Number
Date Calculated Original
Calculated By Amount
100-00000-425002
2/29/2008 KAL 0.00
Total Due:
Page I ofl
2/29/2008
I :47:48PM
Amount
Due
0.00
$0.00