HomeMy WebLinkAboutApplication APPLICANT 4/14/2009
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City of Springfield
Development Services Department
225 Fifth Street
Springfield, OR 97477
3
Annexation Application Type IV
Application Type (Applicant: Check one)
Annexation A lication Pre-Submittal:
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Address:
I.SM'\f>IA L.:w..d. Co. IE. e~ MLe....COq;)..
'Po &~ 7'11..5 E """""'- oR. <,\140-1',
Owner Signature:
a
Phone: 5'H' 'i 85 - IlCO
Fax: "5'\ \.. ...B ~ -77Z"Z..
E-mail:
::rG>..\Mes A.. (".)'1 \(f\~'" \'r-eS.
Owner Signature:
Com an :
K"'-""c\.c<. \ \ <::'. \-\ \",c\ '. \<..
L,.Y,\c\~f.~ ~ c.o. E. ev\.e A,b.('or
f' 0 6'R.. ''\7 '{ D 1
Phone $,\\-1.,53-77IL
A ent Name:
Fax:
S,,\H:>B3-77Zz...
(\,Ied.\\<.e
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s "
Address:
Agent Signature:
E-mail
If the applicant is..other than t~e owner, the, owner hereby grants permission for the ,applicant to act in his orher behalf, exce'pt
where signat"ures of the owner of record are required, only the owner may sign the petition. '.
ASSESSOR'S MAP NO: :~ ..~~ :C>;:7..~ TAX LOT NO S: 3cOO) 3\0 /37P:J,-3?GD
"./<;:Ii .,
Pro ert Address: '18'51 '1857 ~COI FranU,V1 131114 LA/o'Ie COUM+ Ore
Area of Re uest: ~ 8, 7.. e =..,.e S
Existing Use{s)
of Property:
fOrWler 5A.Y1d~ 'r<<vel proc.e<;s:n
riwrCl.(i I, VC<..C-ClVlT.
/=>'1+ - c.1<..Y't'o>'lil
Proposed Use
of Property:
'70 Be. DeferM: n ed
PRE.SUBMITTAl REC'O
APR I 4 2009
er+a;>1S +.::, E.<-<- ..,,€. Aile", Cor.
Required Property Information (City Intake Staff: Complete This Section)
Case No.:
PtlL 2Od~ -(j:JO I 0
Date: Lt./tf.oq
Reviewed By: .~
(initials)
5J.o.CfJ
Page 8 of 20
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Owner Signatures
This application form' is used for both the required pre-submittal meeting and subsequent
c'omplete application submittal. Owner signatures are required at both stages in the application
process, An application without the Owner's original signature will not be accepted.
Pre-Submittal
The undersigned acknowledges that. the information in this' application is correct and accurate for scheduling of the
.Pre- Submittal Meeting.
Owner:
L. J /J2i;L)
. Sig?ture
T""v<Aes ~. L0;\c\~s.~
Print
Date:
Submittal
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 provided 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
::r~'V\-t-es. ~ .W;\cts.""
Print
PRE.SUBMITTAl REC'D
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APR 1 4 2009
Page 10 of 20
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APPLICANTS SHOULD COMPLETE THE FOLLOWING STEPS PRIOR TO SUBMITTING AN
APPLICATION. APPLICATIONS NOT HAVING ALL BOXES CHECKED WILL BE RETURNED
TO THE APPLICANT AND WILL THEREFORE DELAY THE APPLICATION REVIEW
PROCESS.
g ([jJ Application Fee [SDC 5.7-125(8)(15)]
I-- ~fer to the Development Code Fee Schedule for the appropriate fee calculation formula. Fees
are based upon the area of land being annexed. Copies of the fee schedule are available at the
Development Services Department. Fees are payable to the City of Springfield.
./' Petition/Petition Signature Sheet [SDC 5.7-125(8)(2)]
To initiate an annexation by consents from property owners as explained below, complete the
attached Petition Signature Sheet (refer to Form 1).
Consent bv Prooertv Owners rORS 222.170(1)1
If the proposal is to be initiated by the owners of at least one-half of the land area, land
value, and land ownership, complete Form 2. To give consent for a particular piece of
property, persons who own an interest in the property, or who are purchasers of property
on a contract sale that is recorded with the county, must sign the annexation petition.
Generally, this means that both husband and wife should sign. In the case of a corporation
or business, the person who is authorized to sign legal documents for the firm may sign the
annexation petition. Please provide evidence of such authorization. To ensure that the
necessary signatures are obtained, please complete the attached worksheet (Form 2).
.,j" Certification of Ownership [SDC 5.7-125(8)(5)]
After completing the attached Petition Signature Sheet (Form 1), have the Lane County
Department of Assessment and Taxation certify the ownerships within the proposed annexation
area.
vi Owners Worksheet
Information on the Petition Signature Sheet can also be found on Form 2, Owners and Electors
Worksheet
.rzf Supplemental Information Form [SDC 5.7-125(8)(1) and (11)]
Form 3 (attached) prOVides additional information for the proposed annexation that is not
requested on the Annexation Application Type IV form, such as special districts that currently
provide services to the proposed annexation area.
/'"'\
-g 0 Legal Description [SDC 5.7-125(8)(9)]
'c: A metes and bounds legal description of the territory to be annexed or withdrawn must be
'\. ~ submitted electronically in Microsoft Word or a compatible software program. A legal description
~ ~ shall consist of a series of courses in which the first course shall start at a point of beginning.
~ ;;: Each course shall be identified by bearings and distances and, when available, refer to deed
~ a lines, deed corners and other monuments. A lot, block and subdivision description may be
~ substituted for the metes and bounds description if the area is platted. The Oregon Department
;! of Revenue has the authority to approve or disapprove a legal descriPtiORRE l4.'flKlilfffi'iiCW;Cl)l.YO
stamped legal description does not ensure Department of Revenue approval.rl -;)UDIVI III'\L Kl:l"
/ APR 1 4 2009
0' Cadastral Map [SDC 5.7-125(8)(10))
Three clean copies of the most current cadastral map or maps, to scale, must be provided. An
additional cadastral map at the same scale shall be provided that shows the proposed
Page 11 of 20
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annexation area in relationship to the existing city limits. Cadastral maps can be purchased from
the Lane County Assessment and Taxation Office.
/ORS 222.173 Waiver Form [SDC 5.7-125(8)(8)]
~ Complete the attached waiver (Form 4). The waiver should be signed by each owner within the
l.Q proposed annexation area.
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~ r;;J Public/Private Utility Plan [SDC 5.7-125(8)(12)]
< '7(plan describing how the proposed annexation area can be served by key facilities and services
~ must be provided with the Annexation Agreement. Planning and public works staff will work with
the applicant to complete the Annexation Agreement.
~ Written Narrative addressing approval criteria as specified below. All annexation requests
must be accompanied with a narrative providing an explanation and justification of response with
the criteria stated in the application (also stated below). [SDC 5.7-125(8)(13) and (14)]
A. The affected territory proposed to be annexed is within the City's portions of the urban
growth boundary and is contiguous to the city limits or separated from the City limits
only by a public right-of-way or a stream lake or other body of water;
B. The proposed annexation is consistent with applicable policies in the Metro Plan and in
any applicable refinement plan or Plan Districts;
C. The proposed annexation will result in a boundary in which the minimum level of key
urban facilities and services as defined in the Metro Plan can be provided in an orderly
efficient and timely manner; and
D. Where applicable fiscal impacts to the City have been mitigated through a signed
Annexation Agreement or other mechanism approved by the City Council.
@ Eighteen (18) copies of the previously required information.
ALL PLANS AND ATTACHMENTS MUST BE FOLDED TO 8112" BY 11" AND BOUND BY
RUBBER BANDS.
PRE.SUBMIITAL REC'O
APR 1 4 2009
Page 12 of 20
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CITY OF SPRINGFIELD
VICINITY MAP
PRE2009-00010
4851, 4857 & 5001 Franklin Blvd
SITE
Map 18-03-02-20
Tax Lot
3000,3100,3200,
3300
And
18-03-02-32 Tax
Lot 3800
North
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PRE.SUBMITTAl REC'O
APR 1 4 2009
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~\.iO....
:,:,_"._,:,,>,~.,'.::-.--.:.'-:i:-"'_ '0.,,".':
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Since 1935
April 14, 2009
Mr. Andy Limbird
Planner
City of Springfield
225 Fifth Street
Springfield, OR 97477
Dear Mr. Limbird:
Subject: Annexation Request Pre-Submittal Meeting
Enclosed please find filing materials requesting a Pre-Submittal Meeting pertaining to the voluntary
annexation of approximately 38 acres of land owned by this company and Eugene Allen Corp. (an
affiliated company) located at 5001 Franklin Boulevard in the Glenwood neighborhood of Springfield.
Pursuantto SDC 5.7-125(B)(13) and(14), the following information is provided:
A. The affected territory proposed to be annexed is within the City of Springfield's urban growth
boundary, and is separated from the city limits only by a public right-of-way (McVay Highway).
B. The proposed annexation is consistent with applicable policies in the Eugene-Springfield Metro Area
General Plan (2004 version). In particular it promotes Policy II1-B-25: "Pursue an aggressive annexation
program and servicing of designated industrial lands in order to have a sufficient supply of 'development
ready' land". The property is designated Light Medium Industrial on the plan diagram, and zoned Light
Medium Industrial.
The proposed annexation is also consistent with applicable policies in the Glenwood Refinement Plan. It
is included in Subarea 10, with a small portion in Subarea 9.
C. The proposed annexation will result in a boundary in which the minimum level of key urban facilities
and services as defined in the Metro Plan can be provided in an orderly, efficient and timely manner as
outlined in a draft Annexation Agreement previously submitted.
D. Fiscal impacts to the city are also addressed in the draft Annexation Agreement.
We look forward to meeting and working with you to annex this property to the city.
Randall S. Hledik
Director, General Services
PRE-SUBMITTAL REC'O
APR 1 4 2009
Encls
P.O. Box 7428 Eugene, OR 97401 I 3600 Wildish Lane Eugene, OR 97408
Telephone: 541485.1700 Fax: 541683-7722 www.wildish.com
An Equal Opportunity Employer
Application #: C SP 2009 -
For City Use Only
FORM 1
PETITION/PETITION SIGNATURE SHEET
Annexation by Individuals
[SDC 5.7-125(2)(b)(i)/ORS 222.170(1)]
t:Jr..JG\,..} -'\ L.5 Hat> ~
"S~tTTAL PAc..KE>
We, the following property owners of the following territory, consent to the annexation to the City of Springfield and concurrent
annexation to Lane County Metropolitan Wastewater Service Districtand Willamalane Parks and Recreation District, as deemed
necessary:
Signature
Print Name
S\yl..\"..S
R9fjd.ar:1~9 Address
Map and Tax Lot Number
(example: 17-04-03-00-00100)
,/
Land Acres
Owner (qty)
2. /
i..J\\c\,,,,\... L<MA.o. Co,
\'Co-c.;;, -01...""'0
,\.. :n.oo 3300
lB- <,.~- 02. - 3Z-
38
1& - <>3-0z. - 2.0
L OC)(;J \00
x.
X-
X
1. (l
:f...""eSO A...L0ildi~{" . Pl'eS
3.
.c ~4.
Eu.Ole",e Aile", C"',y
5.
3ii..)'>5
Note: With the above signature(s), I am attesting that I have the authority to consent to annexation on my own behalf or on behalf of my firm or agency. (Attach evidence of such
authorization when applicable,)
I ''1l.'''\Ac\""H '5, \-l.\ec:L K . .
; c/J~~Ik-Rd
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(printed name of circulator), hereby certify that every person who signed this sheet did so in my presence.
(signature of circulator)
CERTIFICATION OF OWNERSHIP
The total landowners in the proposed annexation are '2- (qty). This petition reflects that '2... (qty) landowners (or legal representatives)
listed on this petition represent a total of 100 (%) of the landowners and iOo (%) of the acres as determined by the map and tax lots attached
to the petition. A&T is not responsible for subsequent dee,d activity that may not yet be reflected on the A&T computerized tax roll.
tb~U)~WL--
Lane County Department of Assessment and Taxation
PRE.SUBMITTAl REC'O
APR 1 4 2009
<f-13-()7
Date Signed and Certified
13 of 20
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FORM 2
OWNERSHIP WORKSHEET
PRE.SUBM\l1~l REC'O
AE-R 1 4 2QQ~
(This form is NOT the petition)
<L>_ ~
~-..,.;..-- ,..
(Please include the name and address of ALL owners regardless of whether they
signed an annexation petition or not.
OWNERS
Property Designation Assessed Imp. Signed Signed
(Map/lot number) Name of Owner Acres Value YjN Yes No
18 - ,,'3 - 02" 2. 0 l.<f;ld',~\.-. ~ C:o.
3.'"2.00 l4,Q, B<\q I ~'Z... Y )(
3S00 I ;z.S z.S 4D1- N X
16-03 -D2-'32 L0;":\;5,^- Lo,-v..d Co.
3500 (\q-cn) 1.07 q "&1'1 N X
"?9r1'')(l.\-I';) S,b9 10 11'1 N X
1(2,-0'3 -",2..- 20 E lA.<><'V' e A I \~ Q"p
3oco o,n 23/nog Y X
'3\00 Sl9 Z. Z~ 'ioB '{ )(
T
,
TOTALS: 36,2.6 i ,20iD ~ 99
TOTAL NUMBER OF OWNERS IN THE PROPOSAL 'l.-
NUMBER OF OWNERS WHO SIGNED .~
PERCENTAGE OF OWNERS WHO SIGNED iOO
TOTAL ACREAGE IN PROPOSAL 3B,?..E,
ACREAGE SIGNED FOR ~e; z.B
PERCENTAGE OF ACREAGE SIGNED FOR lOa
TOTAL VALUE IN THE PROPOSAL \ . ?..OG;, I S99
VALUE CONSENTED FOR I '2. 0(" 'S q 9
PERCENTAGE OF VALUE CONSENTED FOR 100
14 of 20
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FORM 3
SUPPLEMENTAL INFORMATION FORM
(Complete all the following questions and provide all the requested information. Attach
any responses that require additional space, restating the question or request for
information on additional sheets.)
'"R~ ",-d a.. II I-t t e d ~ k
E-mail: .(..^\ec.\..\<..(CVt0;\d~S~.Co ~
Supply the following information regarding the annexation arRRE-SUBMITTAL RECIO
IS APR 1 4 2009
. Number of Existing Residential Units: oJ
. Other Uses: or;,r; ic...e /'S+o'\o...~~_1 s.,^o~ tsw \d; "'-~S
. Land Area: .3 B . 2. 6 total acres
. Existing Plan Designation(s): Uj'-'\- M'f'A'~/...\AA llNAv...<;~~c.....\
. ExistingZoning(s): U<'\\".\- ked~lA.VV\ ~d"'b~;a..\
. Existing Land Use(s): €<' -\-0 He-D.'>! E.' \-\, V\o\e\A. 'FT{'c,\\i\\\i\ C~--\e...r
. Applicable Comprehensive Plan(s): Eu.. .e,II'e-'S; '\0 f'.<f Q ~0rlL\
. Applicable Refinement Plan(s): 6 \eV\ wood
Contact Person:
. Estimated Population (at present):
· Provide evidence that the annexation is consistent with the applicable
comprehensive plan(s) and any associated refinement plans. Me\-'? PI"^,, ?o\~'--'i
nt- 12,- 2<;)', " ?w'fSV-€ lMA C\.~'1.i'('SS;~ <W.w-=\-iO'\\. ~O~-fCUM ~ 5e'C0 ;,-,;,^~ of
&.61 Wt-\<:cl '",0.M.,>\T~<<.\ l.o.M.o,s :..... o-c~ -\u ~ 0- Su...&&;u"",,\ ~ "c\e-
\K\o ?'vV-a\."\- 0......-..<\ . 41~""", € -..e~ c>..u. ~ S"'- ~ q ~ \0 >
. Are there develop me t plans associated with this proposed annexation?
Yes No)(
If yes, describe.
. Is the pr~ed use or development allowed on the property under the current
plan designation and zoning?
Yes No
N/A
. Please describe where the proposed annexation is contiguous to the city limits
(non-contiguous annexations cannot be approved under 5.7-140, Criteria).
.~~~' D~. ~~~e-~0(~~ ~r kC.~~:Jf~"''''"~ (.ku~.
_~Lg\t:{\ -YJA -1 _\A,^~~L '('\~---=o\- W__.
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Does this application include all contiguous property under the same ownership?
Yes X No
If no, state the reasons why all property is not included:
. Check the special districts and others that provide service to the annexation
area:
Ili{ Glenwood Water District
Illl
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o Rainbow Water and Fire District
o Pleasant Hill School District
o McKenzie Fire & Rescue
Eugene School District
Springfield School District
o Pleasant Hill RFPD
o Willakenzie RFPD
IX.. SUB l 'J
, L...,,-e cO\J.VI+i, LA"'€. CO'M"""'I'\\"~
I\l1 Willamalane Parks and Rec District (g. Other (,"l\e~e) La.-w> Edw<>+,'01-\ S'€',lll'-'<.
~5~,c-+ G\e><~oa.\ U;,\,{LVI .
R-e"'€v..:>b.Jl. 'tl \s~:c..t
. Names of persons to whom staff notes and notices should be sent, in addition to
applicant(s), such as an agent or legai representative.
1<a.V\cllt.\\ \-\-\-ec\"K
(Name)
o EPUD
(Name)
(Address)
(Address)
(City)
(Zip)
(City)
(Zip)
(Name)
(Name)
(Address)
(Address)
(City)
(Zip)
(City)
(Zip)
PRE.SUBMITIAl REC'O
APR 1 4 2009
Page 16 of 20
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PRE-SUBMITTAL REC'D
Legal Description of the Wildish Land Company portion APR 2009
of the 1 4
Wildish Glenwood Plant Site
Beginning at a point on the easterly right of way of McVay Highway 30 feet easterly of, when
measured at right angles to, the centerline of McVay Highway, said point being SOUTH 1508.26
feet and North 89059'05" West 8.74 feet from the northwest comer of Section 2 in Township 18
South, Range 3 West of the Willamette Meridian, said point being the intersection of the easterly
right of way of McVay Highway and the north boundary of Parcel No.5 described in a Bargain
and Sale Deed recorded December 16, 1963 Reception No. 36777 Lane County Oregon Deed
Records; thence along the easterly right of way of McVay Highway South 6038'45" East 241.24
feet to a point opposite the angle point in the centerline of McVay Highway at engineer=s station
107+00; thence continuing along the easterly right of way of McVay Highway South 5041'45"
East 1300.25 feet to a point 30 feet easterly of and opposite engineer=s station 120+00 P.O.T;
thence North 84018'15" East 10.00 feet to a point 40 feet easterly of and opposite engineer=s
station 120+00 P.O.T.; thence South 5041 '45" East 200.00 feet to a point 40 feet easterly of and
opposite engineer=s station 122+00 P.O.T.; thence North 84018'15" East 10.00 feet to a point 50
feet easterly of and opposite engineer=s station 122+00 P.O.T.; thence South 5041'45" East
200.00 feet to a point 50 feet easterly of and opposite engineer=s station 124+00 P.O.T.; thence
North 84018'15" East 10.00 feet to a point 60 feet easterly of and opposite engineer=s station
124+00 P.O.T; thence South 5041'45" East 89.50 feetto a point 60 feet easterly of and opposite
engineer=s station 124+89.50 P.C.; thence along the arc of a 776.20 foot radius curve right (the
chord of which bears South 5016'33" East 11.38 feet) a distance of11.38 feetto a point 60 feet
easterly of and opposite engineer=s station 125+00 P.O.C.; thence North 85008'39" East 10.00
feet to a point 70 feet easterly of and opposite engineer=s station 125+00 P.O.C.; thence along
the arc of a 786.20 foot radius curve right (the chord of which bears South 3035'57" West 23 L19
feet to a point 70 feet easterly of and opposite engineer=s station 127+11.4 P.T.; thence South
12003'15" West 140.66 feet to a point marking the intersection of the easterly right of way of
McVay Highway and the easterly right of way of the Union Pacific Railroad, said point being 30
feet from; when measured at right angles to the centerline of the Union Pacific Railroad; thence
leaving the easterly right of way of the McVay Highway and running along the easterly right of
way of the Union Pacific Railroad along the arc of a 985.04 foot radius curve right (the chord of
which bears South 9032'23" East 255.72 feet) a distance of 256.44 feet; thence leaving the
easterly right of way of the Union Pacific Railroad and running South 73015'42" East 139 feet
more or lessto a point on the low water mark of the left bank of the Willamette River; thence in
a northeasterly direction downstream along the low water mark of the Willamette River 2745 feet
more or less to a point which bears South 89059'05" East from the point of beginning; thence
North 89059'05" West 922 feet more or less to the point of beginning, all in Lane County Oregon.
Bearing used hereon are based on C.S.F. No. 13114 on file in the office of the Lane County
Surveyor....
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Legal Description of the Eugene Allen Corporation portion
ofthe
Wildish Glenwood Plant Site
Beginning at a point on the easterly right of way of McVay Highway 30 feet easterly of, when
measured at right angles to, the centerline of McVay Highway, said point being SOUTH 1237.57
feet and North 89059'05" West 40.89 feet from the northwest corner of Section 2 in Township 18
South, Range 3 West of the Willamette Meridian; thence along the easterly right of way of
McVay Highway along the arc ofa 1303.24 foot radius curve right (the chord of which bears
South 7031 'IS" East 39.80 feet) a distance of 39.80 feet and South 6038'45" East 232.80 feet to a
point marking the intersection of the easterly right of way of McVay Highway and the north
boundary of Parcel No.5 contained in a Bargain and Sale Deed recorded December 16,1963
Reception No. 36777 Lane County Oregon Deed Records; thence leaving said Easterly right of
way and running along the north boundary of said Parcel No.5 South 89059'05" East 922 feet
more or less to a point on the ordinary low water mark on the left bank of the Willamette River;
thence downstream in a northwesterly direction along the ordinary low water mark of the left
bank of the Willamette River 308 feet more or less to a point marking the intersection of the low
water mark of the left bank of the Willamette River and the easterly project of the souib
boundary of that certain tract of land described in a memorandum of land sale contract recorded
October I, 1976 Recep. No. 7651457 Lane County Oregon Deed Records; thence leaving the low
water mark of the left bank of the Willamette Meridian and running along the south boundary of
said last described tract and its easterly projection North 89059'05" West 262 feet more or less to .
a point referenced by a 5/8" iron rod with a red plastic I..D. cap stamped APoage Eng. Ref.
Corner@ which bears South 89059'05" East 1.00 feet; thence North 00010'49" East 69.21 feet;
thence North 89059'05" West 50.02 feet; thence South 00010'49" West 69.21 feet to apoint
referenced by a 5/8 inch iron rod with a yellow plastic I.D. cap stamped AP.L.S. No. 655"; thence
North 89059'05" West 494.37 feet to the point of beginning, all in Lane County Oregon.
Bearing used hereon are based on C.S.F. No. 13114 on file in the office of the Lane County
Surveyor.
PRE.SUBMITTAl REC'O
APR 1 4 2009
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FORM 4
WAIVER OF.ONE YEAR TIME LIMIT
FOR ANNEXATION PURSUANT TO ORS 222.173
PRE.SUBMITTAL REC'O
,APR 1 4 2009
This waiver of the time iimit is for the following described property: '.
,6- 03-02.-'2.D 3Wo Sool F"ra.,,,,/d,'n BI.;d
Map and Tax Lot Number Street Address of Property (if address has been
assigned)
ONE WAIVER OF TIME LIMIT FOR EACH PARCEL; PLEASE
We, the owner(s) of the property described above understand the
annexation process can take more than one year but desire to annex to have
City services. Therefore, we agree to waive the one-year time limitation on
this petition to annex established by Oregon Revised Statutes 222.173, and
further agree that this contract shall be effective !XI indefinitely or [ ] until
Date
tU\\~~S,.
~e.o.
Date Si ned
..l<t""e~ A.. Wild;",,,", '\\.eside...l
i1~
, .,
LCOG: L:\8C\2008 BOUNCHANGE TRANSlT10N\APPUCA nON FORM5\SPRINGFJELO\10_03_0B UPDATED FORMS\PRE~SU8MITTAL ANNEXA nON APPUCAnON lO-07-08.DOC
LastSaved: February 26, 2009
Page 17 of 20
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FORM 4
WAIVER OF ONE YEAR TIME LIMIT
FOR ANNEXATION PURSUANT TO ORS 222.173
PRE.SUBMITTAL REC'D
APR 1 42009
This waiver of the time limit is for the following described property:
18 - 0:' - 02 - Z 0 3360
Map and Tax Lot Number Street Address of Property (if address has been
assigned)
ONE WAIVER OF TIME LIMIT FOR EACH PARCEL, PLEASE
We, the owner(s) of the property described above understand the
annexation process can take more than one year but desire to annex to have
City services. Therefore, we agree to waive the one-year time limitation on
this petition to annex established by Oregon Revised Statutes 222)73, and
further agree that this contract shall be effective D<I indefinitely or [ ] until
Date
-:::J;W€5 A.. LU;lc\~s.~1>{'es,a~l
tU I\d:; So Lu-u:\ ~ .
Date Si ned
LCOG: L:\BC\2008 BOUNCHANGE TRANSITlONlAPPUCATlON FORN5\5PRINGFIELDIIO-03-08 UPOA TED FORMS\PRE-SUBMITTAL ANNEXATION APPUCATION JD-07-0B.DOC
Llst5aved: February 26, 2009 '
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FORM 4
WAIVER OF ONE YEAR TIME LIMIT
FOR ANNEXATION PURSUANT TO ORS 222.173
PRE.SUBMITTAL REeD
APR 1 4 2009
This waiver of the time limit is for the following described property: .
i8-~s-02-~~ 3eco
Map and Tax Lot Number
assigned)
Street Address of Property (if address has been
ONE WAIVER OF TIME LIMIT FOR EACH PARCEL, PLEASE
We, the owner(s) of the property described above understand the
annexation process can take more than one year but desire to annex to have
City services. Therefore, we agree to waive the one-year time limitation on
this petition. to annex established by Oregon Revised Statutes 222.173, and
further agree that this contract shall be effective rxJ indefinitely or [ ] until
Date
Si
Date Si ned
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LCOG: Lo' \8C\2008 BOUNCHANGE TRAN5ITlON\APPL1CA nON FORM5\5PRINGFIfLDI10-03-0B UPDATED FORMS\PRE-SUl3MITTAL ANNEXA nON APPLICATION lO-07-0B.DOC
Last Saved: February 26, 2009
Page 17 of 20
.
.
FORM 4
WAIVER OF ONE YEAR TIME LIMIT
FOR ANNEXATION PURSUANT TO ORS 222.173
PRE-SUBMITIAL REC'O
APR 1 4 2009
This waiver of the time limit is for the following described property:
113-03-D'2. -'20 ~c:oo
Map and Tax Lot Number
assigned)
4-\:3$\ "F,Q"''\<.\'\V\ 'B\-./d,
Street Address of Property (if address has been
ONE WAIVER OF TIME LIMIT FOR EACH PARCEL, PLEASE
We, the owner(s) of the property described above understand the
annexation process can take more than one year but desire to annex to have
City services. Therefore, we agree to waive the one-year time limitation on
this petition to annex established by Oregon Revised Statutes 222.173, and
further agree that this contract shall be effective IX! indefinitely or [ ] until
Date
'-::r~,^"es". L0;\c\~&~ 'V<eslc\e.u \
Ev-: evo...e... ~\\~ Cui'
a
Date Si ned
~l
LCOG: L:\BC\2008 BOUNOiANGE TRANsrrJON'!APPLICA1]ON FOI!N5\5PRINGFIELD1.10-0J-DB UPDATED FORM5\PRE.SUBMlTTAL ANNEXATION APPLICATION lO-07-0B,DOC
LastSaved: February 26, 2009
Page 17 of 20
.
.
FORM 4
PRE-SUBMITTAL REC'O
APR 1 42009
WAIVER OF ONE YEAR TIME LIMIT
FOR ANNEXATION PURSUANT TO ORS 222.173
This waiver of the time limit is for the following described property:
\~-o3-o'Z.-"Z.o ~iOO 4BS-r "F~.tLV\\....\"vI. '\:1\'-'4
Map and Tax Lot Number Street Address of Property (if address has been
assigned)
ONE WAIVER OF TIME LIMIT FOR EACH PARCEL, PLEASE
We, the owner(s) of the property described above understand the
annexation process can take more than one year but desire to annex to have
City services. Therefore, we agree to. waive the one-year time limitation on
this petition to annex established by Oregon Revised Statutes 222.173, and
further agree that this contract shall be effective IN. indefinitely or [ ] until
Date
Si nature
Date Si ned
::r"'-"IM e s. A.. W ~ \c.\ \.s, '" 'V"e5;d
E v.. e v-R... i\. \ \ €.V. Cot..
)'1 urfl
LCOG: LIBC\2008 BOUNCHANGE TRANSlTION\APPLlCAnON FORM5\5PRINGFIELDIlO.03_08 UPDATED FORM5\PRE-SUBMITTAL ANNEXATION APPUCATION lO-07.DS.DOC
LastS"ved: February 25, 2009
Page 17 of 20
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