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Home My WebLink AboutBuilding Miscellaneous 2011-5-24 . -. .::.,. SP"I..aP1IlL.D.~ . ~. """"-, ;J ~~~~~~!i~f!1 ~ ~i-~~ ~,- -'''''; ~2:'7.IIIJ'~ 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 , UtL LLC 1'tVQ., . '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 .' ... ~. . -.. ~.. SP~I\N .G. ~E.:iJ ~Ul',. :l~ '~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 ,"*' G9MM~]1~';;~t~::S1~~j:~,~~':,~:;;-.. ~ ,;"}:/'- AMOUNFPAIDs:rSiX7i.~:,-;..-;,.~,~.. :-' ';_i'~.l 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 -:D~ -