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HomeMy WebLinkAboutApplication APPLICANT 11/19/2010 . . 'city of Springfield Development Services Department 225 Fifth Street Springfield, OR 97477 Historical Review Application ." . (Applicant: check one) ~ iiiiI . . III his section) . ... Application Type Historical Review Tel - Minor Alterations' Sites or Structures: Historical Review T e II - Ma"or Alterations' Sites or Structures: Historical Review T e III: Addition of a Site or Structure to the Historic landmark Invento Removal of a Site or Structure from the Historic landmark Invento Demolition of Historic land Mark Structures A Phone: J"l-11-9tfl- 69f'f Fax: Address: o 51- I,'e It? A Iicant's Re .. Phone: Com an : Address: Fax: Com an Address: Phone: Fax: ASSESSOR'S MAP NO: 1"1- ~3 15 '2 ~ TAX lOT NO S Address: , 0 "1- D S+r~ f 1; g)f rY Description of If you are filling in this form by hand, please attach your proposal dejtriptlon to this applicati~ry _ Proposal: . a.rJ.J,:rl.J 0-. 6' Y J)" hrtJ+- 6",...".J ~ /V"rt1. J/~ df <JCVlCt'~ f#S 'Jro...... i?A-J- fh.~ ,.t.h..I. " ,N" f (/ ;s.. "/0 I '- ~ S -t/'.u C Associated A Iications: -bv-- Case No.: 1\ () - <SD \ 1....- Date: / / A Iication Fee: bO Technical Fee: 3 TOTAL FEES: ~ PROJECT NUMBER: Revised 1.16.09ddk J. ,"0 NOV 1 9 2mOf 7 cAy \\'1 Original Submittal Signatures . . An application without the Owner's original signature will not be accepted. Applicant: Owner: Revised 1.16.09ddk The undersigned acknowledges that the information in this application is correct and accurate. /'vlt<<t& Signature Nl al' ( -l3' r a r>.. d[,.. UI'J-t Print 1 Date: If the applicant is not the ner, the owner hereby grants permission for the applicant to act in his/her behalf. Signature Print Date: Date Received: NQV 1 9 2010 OriJinai Submittal 2 of 7 'Ii" '';11 \ I , \ \ , " \ '. I , \ , , . \ \ -~~ e .c . ", \ " , \ ::!. \ lQ \ ~ 0 \ ;z .ll - ~I C;,l '1> <:: ;;0 ;:;: <.11 - <.1';>. r ':1 I ....., ()) ! ',) ~. -. Q I Roo A I ~~ ~..., ~ ~ ~ 3~ ~ ~ ~ ~ ~ ~ ) <;:, -:s ~ ~~. 0.... .Q. ~ "i-...... .~~,,~ j \'j ~ 1 ~ <z \:) \1 ~ ~ ~ '- (:1 "- ~'V ~ 'j.... ~r ~~ 1 .... ~ ~ ~ '->, ~ ~ ~ \ ~ M . ; ~ ~ x q... ~ ~ _~ _i:::lt~~~~ ~ ~ J~ ~{ ~;. ~ uJ ~ ........~ ~_+:. .~ ~c, l 1"~ i ~1 ~ ,~\:, ~ :t.::.-~1 &:S ~ <-.<::$ ~ '"'_ 0 <. -.. ~ lG ~ '-1 "'-;;- <l: 1J B '-"\ I 1 \ 1 t d- Ol ~ el o v ~ t; ~ l ~ .,) c ~ w ~ ~I r- ::' lS. ~I I .,. ...... of" ~ClI;t I ",Q~u _ _ ' - - - - - -- - l J /II ~ o U ~ - t.~ <. JA ~ ~ T1- (. ~ ~ \-\I ~ ~ l ~ +[ <- <:;.- ~ ~ v> ~ ~ , ;:) M LJ; >< ... '::L ...s> -' " -+- ~ g t: , V1 ~ ( - :S V, Ol \ - ,,,,./,'.' "31 ') , lAcl:I . ~ - *'6 II J ~ . ----:;.r )(, ,:;.;;; ltlt:D ... '0. I - - :Z~' c:t"'-4 ..::::... --1- 0- r- :5 0- - - I"l ~ u U 4 "T ,... l-, ""'Q .....e ~..., !::~ ':lJ- <~ :l.1 ~~ - i- 9 ~ ~) ,--. ~I ;1 ~ . ~ .. f '" 0 ~ I . - - Q! '11 ~ <>I ! ~ 'Q a: ::> '(j) u &! Q) <0 o I~ , \ I ! ro a> ;: - '~ > ~ ~ en tt c: 'OJ .;:: o = 5 '"