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Home My WebLink AboutMiscellaneous Miscellaneous 6/24/2010 225 Firm STREET. SPRINGFIELD, OR 97477 . PH:(54 ])726-3753 . fAX: (541)726-3689 Develonment Services Sunnlemental Submittal Form Date: 10 - '24 - J 0 To Staff Member: Liz- .From: lilY! f3f;:l.-U;;V/Lt.:l;:- C-;ff. ~B- ~S.(6N ) Contact Phone Number: h~- s ""rq2.. <=--) PJf2 - '387S Permit Number/Journal Number: LJDf-'IZc>o'[ - C>OICf 0 Description of Submittal Material: 4- c.opl17S ~vl"S'&o/wmn=:.o "2co ~ - 2-c:> 1.0 M D S -S J--r'G- P/.-A N Instructions for City Staff: 06-24-1 0 PO 1: 33 IN Accepted by: ~c-r J Date Received:~ Planner: LM