HomeMy WebLinkAboutBuilding Miscellaneous 2011-5-24
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APPLICATION TO DEFER FEES AND CHARGES
AND CONSENT TO ASSESS LIEN
.ne owners of the property shown below hereby apply to the City of Springfield to pay the fees and cbarges of$jO!; ?C Lf,) J-
deferred until final building occupancy is requested. Such fees and charges include System Development Charges assessed on the
property for the City imd Willamalane Park & Recreation District. In the event that the real property on which the fees have been.
deferred pursuant to Ordinances 6233 and 6234 is sold or conveyed, the fees or charges deferred shall become immediately due
and payable to the City of Springfield. Sale or conveyance includes either actually selling, conveying or assigning any or all of the
property or any or all of the owner's interest in the property. The owners hereby apply for and consent to the voluntary imposition
ofa lien for $/OtO""j, /2- . upon the following described land in the City of Springfield, Lane County, Oregon:
MAP AND TAX LOT /.>/12 CJ~2J II {IT?O
SITE ADDRESS g / r rf [)c!)VI {,- lA S bIZ-..
CITY,.STATE,ZIP 5("<!./fV'rnb'Z.Z; t9JC. Q7'-17<),
SEE ATTACHED LEGAL PROPERTY DESCRIPTION
BILLING NA1\fE
BILLING ADDRESS
CITY
STATE
D:J.s ~IJ R..r,,,,-<;;-v1s
2-~c;.0 h-A-rt-,I--J~t-<.-e.
ClA..9 <-^- "--- r
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UtL
LLC
1'tVQ.,
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'ZIP
<f7"tv \.j
FEES AND CHARGES DEFERRED
RECORDING FEES
$ /0<'-37'. 1!2--
$~
TOTAL LIEN
$10")%'/,/2-
. In addition to the fees and charges indicated above, we agree to pay the fees associated with recording the lien and removal of the
lien at Lane County Deeds and Records.
We are all of the legal owners of the described land or all of the contract purchasers of record of the described land to which these
fees and charges are applicable. We waive any and all irregularities or defects, jurisdictional, or otherwise, in any proceedings to
impose, calculate and collect these fees and charges, and in the imposition and collection of the lien consented to in this
application. We promise to pay these fees and charges when final building occupancy is requested or at such time the real property
is sold or conveyed. The charges may be paid in full at any time without penalty. We understand that if there is a subsequent
failure to pay the fees and charges the City shall have the right to enforce payment of the amount due in any rilanner provided by
the general law of the State of Oregon, or by the Springfield Municipal Code, including but not limited to foreclosure of the land.
We acknowledge that the City has an interest in the property to collect these fees and cbarges, including System Development
Charges, and that the City has the authority to lien the property to collect those fees and charges. In the event of any proceeding to
enforce collection or to foreclose, the entire unpaid balance and any fees shall be considered delinquent and due. We also agree to
pay the city's cost of collection or fcreclos and any attorney fees necessary for such collection C?r foreclosure.
c.E (<:AS!
Print Name of OWner
--------. ,).. ,,:22 - /0 ::>TC- Sf 7 - .;:,SS-o
Signature or Owner Date Phone #
Signature of Owner Date Phone #
Signature or Owner Date Phone #
Signature of Owner Date Phone #
Print Name of Owner
Print Name of Owner
Print Name of Owner
ss.
OFFICIAL SEAL .
DEYETTE KELLY
NOTARY PUBLIC - OREGON
COMMISSION NO. 420351
MY COMMISSION "XPIRES AUG. 15, 2011
2..2nJ. dayof kbn.A.O\/"tt~z.olO
STATE OF OREGON
County of Lane
v:\common\accnting\a.ssessmt\Deferred fees contract-doc
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'~OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
COM201 0-001 08
3188 DOUGLAS DR
permitcenter@ci.springfield.or.us
RECORD NO: COM2010-00108 DATE: OS/24/2011
":l.::~:::' '7iiJ.~'."0Z:.y, .'AccbuNtcbDE\~!. ,.Pi i."CAMOUNJ'j')uE:. :'" :l
821-00000-215004 248.83
100-00000-425605 120.78
224-00000-425604 79.00
224-00000-425603 402.00
224-00000-425802 38.00
224-00000-425604 9.00
________ 224-0()OOO-42560~ __ 1,221.57
201-00000-428060 -45.00
201-00000-428060 88.00
224-00000-425604 900
224-00000-425604 13.00
100-00000-424005 135.65
---_.~
224-00000-425604 7.00
100-00000-425002 211.00
224-00000-425602 794.02
224-00000-426102 134.00
224-00000-426102 100.00
719-00000-426604 179.39
446-00000-448026 211.21
447-00000-448027 931.65
719-00000-426604 79.73
443-00000-448025 661.39
-----...-..---.--..--.-...........-----.".-"..-.-..
442-00000-448024 869.79
201-00000-428060 88.00
440-00000-448028 1,040.11
224-00000-426102 63.00
224-00000-425604 36.00
821-00000-215023 2,858.00
TOTAL DUE: 10,584.12
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10,584.12
RECEIPT NO: 2011001212
IDESCRI1~.IlbN ,,;51'''::;4;' '
+ 12% State Surcharge
+ 5% Tec~nology Fee
1 st Appliance
~aths One & Two Family
Addressing Assignment
~_~Epliance Vent
Building Per~
Curbcut - 2nd Curbcut
-----_.
Curbcut Permit
--~-
Dryer Vent
Exhaust Hoods
-- -
Fire SF Fee - Residential
-_._._---
Gas Outlets 1-4
_~_~:~iew Major. Planning
Plan Review Residential
Residence Wirin9 1000 Sq Ft
Residence Wirin9 Ea Addtl 500
SDC Sanitary/Storm Admin
SDC Tran Reimburs-Residential
_ SEE-. Tra~_~proy~~e~t-Resident
__ .__.~~~~.nspo~ati~~..~~in
_____",,~anitary S~wer - Jmprovement
Sanitary Sewer ~ Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Fa_mily
U~4Y.Mf:,&T~Ty~~~::c:+~w:..pAiQR~ASHIER::[fBOwLsBy~:';:r~ti;,
Check DJS Investments pacific continental
39199 bank
S/Zll!tJ
0r~A\O
TOTAL PAID:
10,584.12
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