HomeMy WebLinkAbout01_Application FormCity of Tigard • 13125 SW Hall Blvd. • Tig ard, Oreg on 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2
Case #: ___________________
_________________________ City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Master Land Use Application
LAND USE APPLICATION TYPE
Adjustment
Annexation
Comprehensive Plan Map Amendment
Conditional Use
Downtown Development Review:
5 Type I 5 Type II
5 Adjustment
Food Cart Type II
Home Occupation – Type II
Land Partition
Lot Line Adjustment/Lot Consolidation
Marijuana Facility Permit
Miscellaneous: __________________________
5 Type II 5 Type III
Modification: 5 Type I 5 Type II
Planned Development:
5 Consolidated Plan
5 Concept Plan
5 Detailed Plan
Sensitive Lands Review:
5 Type I 5 Type II 5 Type III
Site Development Review: 5 Type I 5 Type II
Subdivision
Sublot Plat
Temporary Use Permit
Urban Forestry Plan:
5 Modification 5 Discretionary Review
Zoning Map Amendment
PROJECT INFORMATION
Project name:
Brief description of project: ___________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
SITE INFORMATION
Location (address if available): ________________________________________________________________
Tax map and tax lot number(s): _______________________________________________________________
Site size: ______________________________________ Zone: ______________________________________
APPLICANT INFORMATION
Name: ___________________________________________________________________________________
Mailing address: ________________________________ City/State: _________________ Zip: ____________
Phone: ____________________________ Email: _________________________________________________
Applicant’s representative : __________________________________________________________________________________
Phone: ____________________________ Email: _________________________________________________
X
Steve St Park, north of SW 84th Avenue and west of Steve Street.
WCTM 1S136CB Tax Lot 4402
1.37 acres PR: Parks and Recreation
Jeff Peck (City of Tigard Public Works)
13125 SW Hall Boulevard Tigard OR 97223
Grace Coffey (Winterbrook Planning)
503-827-4422 Ext. 106 grace@winterbrookplanning.com
Comprehensive Plan Amendment to remove Goal 5 protections from
0.04 acres of significant wetland buffer to allow for a 8ft wide pathway to
provide park access from SW Steve St.
jeffp@tigard-or.gov503-718-2466
City of Tigard • 13125 SW Hall Blvd. • Tig ard, Oreg on 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2
PROPERTY OWNER INFORMATION Same as applicant
(Attach list for additional owners)
Name: ____________________________________________________________________________________
Mailing address: ________________________________ City/State: __________________ Zip: ____________
Phone: ___________________________ Email: _________________________________________________
SUBMITTAL REQUIREMENTS
In addition to this application form, you must submit all required items listed in Subsection 18.710.030.C of
Tigard’s Community Development Code . If you are unsure what is required with your application, please contact
the planner on duty at 503 -718-2421 or tigardplanneronduty@tigard -or.gov.
I certify that I am the property owner or I am eligible to initiate this application, as provided in the Tigard
Community Development Code. To the best of my knowledge, all the information provided within this application
package is complete and accurate.
Applicant's signature* Print name Date
Property owner's signature* Print name Date
Property owner's signature* Print name Date
*The owner must sign this application or submit a separate written authorization when the owner and applicant are
different people.
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STAFF USE ONLY
Case No.: ___________________ Application fee: ___________ Received by: ________ Date: _______
Related Case(s): ______________ Determined complete by: ______ Date: ________
Rick Gruen 09/22/25
City of Tigard
13125 SW Hall Blvd Tigard, OR.97223
Jeff Peck 9/22/25