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HomeMy WebLinkAboutAddressing Change 2003-6-19 t e- SPRINGFJELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 June 19,2003 Dean & Karen Burkhart 1616 Haskell Street Burlington, IA 52601 RE: Address Change Dear Mr. and Mrs. Burkhart: At your request, your property commonly known as 1240 Delrose Drive, Springfield, Oregon, also known as Lane County Reference Number 17032344, Tax Lot Number 09400 has been changed. Your new address is 1244 Delrose Drive, Springfield, Oregon. I will notify the following companies and/or agencies of this change by sending them a copy of this letter: Springfield Police Department Springfield Fire Department U.S. Post Office U.S. West Communications NorthwestNaturalClas TCI Cable United Parcel Service Springfield Utility Board Lane Council of Clovemments 911 Dispatch, Public Safety Lane County Elections Department Sanipac .Rainbow Water District Springfield NewsJRegister Cluard The lot is currently vacant and this change will take immediately. If you have any questions, please feel free to phone me at 726-3790. ~~ Lisa Hopper Building Safety Supervisor , . . .J" T' J'" $!' ,< " _. '. ',~ ~, ~.'-'" F"~J~. '-"- . ' ,.:,': - - 'CITY OF SPRINGFIELD OREGON," -' :' ',' \ ~... ' .. .. ~;; ~, " ~" . 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 SPRINGFIELD - .~ ADDR6SCHANGEREQU6T Property Owner: '0'CA."'; -;-- KA. ILL,..) <is u (L \,C. \{ A.. rL _____ Mailing Address: I b \ ~ Ii A.S ~~LL 'S'~ City: \;? U rLLI fo.JG\i:\....J State: I A Zip: 5"260 I Person or Agency requesting change if other than owner: Phone number where you can be contacted between 1:00pm and 5:00pm: -.s l C] 754- - I ~ , g Address of prop,erty you are requesting to be changed: /'1...4-0 Oi:LILo5 ~ "bn...\ v~ Assessor Map #: \ ~rf?1l.~ Tax Lot #: (Jc\4W Please explain specifically why you feel the address needs to be changed: .WE: A,t1..S. W.:>n.-K,.Je- \JJ."T"'l-\. '" gUIL"ll'UL""ttl SV'L-O C:WfI-- I-t\)",--~ 0""; '1tl.5 p(l..Ol'E-~"\'\(, We FaL.- ~E. "~1HLoe:sr- S~ou L-'\) ~L 11....+4-- \3 E-c Au.s ~ (T I S ~E-,",$:."--- C~.....\E. (L~"i> BE'T\....l'L'i...J 11-"2-4- "'-..-\:> ~/L<>P~lL'rILS cl,...) ~L '5'1\:>'"--5 OF US". PfL<:\l'" E:<L-rx ~n..o~.s ~i:- <;'\(LL'L-\ IS IU2-\ lll.i:.. A.L-Sl> \1-l L lL4:.3 . $.. WE.. f'~E L 1'1...4-4- IS CO rL(Li:..c --r _ IWA'-'IL '( 0 II _ Proposed Address: 124-4- b 'C.L- CLoS ~ '[, tL \ v~ Signature: ).11..-- Q_ \5 ~ Date: 5' ho /2-003 I . . OFFICE USE I Approved \ r) 031---~/\ ~ Denied If approved, new a.ddress is: \2..~ ~} ~tlSf. \jri\/..eJ Date: . \Q .,q .(L~ Shared Drive(T):/Building Forms/Address Change Request 11 ~2.doc Reference Number: V ~) Reviewed By: (B) \J<lGt:uuxfr(t)l ~ Filo Help_ ~. *-Back' -+ . ((3 @l Gf I' ~search tl!llFavolitesJIGHistory ~ Address I@) httP'il",~d.org/cf~ocs/rlid/ap~:-rr.a-",e~html Favorites x Ii ]I ~ I" i&i Add... ~ Organi,e... ClUnks CI Media @) Business Registry Databa. .. ! 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