VAR2000-00010
CITY OF TIGARD
• EXPENDITURE REQUEST • -
This form is a multi-use form. Appropriate receipts and documentation must be attached to this
form. Approved request due Tuesday 5:00 PM to A/P for checks by Friday (week opposite
payroll only).
VENDOR NO.: DATE: June 7, 2000
PAYABLE TO : D.C. Moore REQUESTED BY: Jerree Gaynor
15665 SW Alderbrook Dr
Tigard, OR 97224
MISCELLANl 0_L1S' EXPENDITURF S:
Date Description, Invoice 'No., etc. Account No. Ainoint
6/7/00 Refund -withdrawn application; 100-0000-438000 $100
receipt #0001714
TOTAL
Mileage 31
APPROPRIATION BALANCE: AS OF: PURCHASING:
APPROVALS:
(IF UNDER $50) Section Manager/Professional Staff
(IF UNDER $2500) Division Manager
(IF UNDER $7500) Department Manager
(IF UNDER $25000) City Administrator
(IF OVER $25000) Local Contract Review Board
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ADJUSTMENT
TYPE I APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 FAX. (503) 684-7297
PRE-APP. HELD WITH:
DATE OF PRE-APP.:
GENERAL INFORMATION
Property Address/Location(s): 15r-C5 -SW H ld e~h~oo ~U.- FOR STAFF'U5E ONLY
J P2 -:1 -7 SCi 3
Tax Map & Tax Lot #(s): 11 7D,4 4f40(?
Site Size:
Property Owner/Deed Holder(s)`:-rgo-..as~'ew~.H 0 C, MC,a,2C CaseNo.(s): ( C'
Address:156G.Ss" i91-1-bw,,k o Phone: 6.)-V-63,4,4
Other Case ~No.(s)-.
City: 71 - - a ~ o PZ- Zip: 9n -Sc
Applicant*: Si4r~IG Receipt No:: QOJ i /~`f
Address: Phone: Application Accepted By: i~,-
City: Zip:
Date:
* When the owner and the applicant are different people, the applicant
must be the purchaser of record or a lessee in possession with written
authorization from the owner or an agent of the owner. The owner(s) Date Determined To Be Complete:
must sign this application in the space provided on the back of this
form or submit a written authorization with this application. Comp Plari2one Designation:
PROPOSAL SUMMARY
CIT Area:
The owners of record of the subject property request permission for
an Administrative Adjustment to the following provision(s) of the Recording Date and Number.-
Community Development Code (please circle one only):
➢ Development Adjustment: $ 100 Rw7128lJ9r-i: curpln n; tcrsL3djustml mst
2
➢ Special Adjustments: $ 100
# Adjustment to a Subdivision $ 100
# Reduction of Minimum Residential Density $ 100
# Landscaping Adjustments - ExistingMewStreetTrees $ 100 REQUIRED SUBMITTAL ELEMENTS
# Parking Adjustments - Reduction in Stacking Lane Length $ 100
# Wireless Communication Facility Adjustments .,Distance From Another Tower $ 100
Please state the reason for the Adjustment request: T~ s r Application Elements Submitted:
4--L S r r /o 4-Application Form
& s 2 S A Owner's Signature/Written Authorization
-z- -e--S
r co ^ d o q + ~ti d 0' Title Transfer Instrument or Deed
Site/Plot Plan 'Z e°o~eS
of copies based on pre-app check list)
r'1 -e- 'c, n e- ( .s 1, to r O S -Q-
~ Applicant's Statement
f--o&2 / '1 &,-%1 a LA- f d h e- (Addressing Criteria Under Section 18.370.020)
r
1--0 Filing Fee $100.00
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APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as
described on the front of this application in the "Required Submittal Elements" box.
(Detailed Submittal Requirement Information sheets can be obtained, upon request, for all types of Land Use Applications.)
THE APPLICANT(S) SHALL CERTIFY THAT:
• The above request does not violate any deed restrictions that may be attached to or imposed upon the subject
propedy.
• If the application is granted, the applicant will exercise the rights granted in accordance with the terms and subject to all
the conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true;
and the applicants so acknowledge that any permit issued, based on this application, may be revoked if it is found that
any such statements are false.
• The applicant has read the entire contents of the application, including the policies and criteria, and understands the
requirements for approving or denying the application.
SIGNATURES of each owner of the subject property.
ATED this a day of A/" Sg
'Owner's Signatu Owner's Signature
Owner's Signature Owner's Signature
2
Customer Receipt
CITY OF TIGARD Printed: 04/26/2000 12:12
User: front
Statipn: 02•
Operator: KJP
Rcpt No: 0001714 Date: 04/26/2000
Customer No: 000000 Amount Due: 100.00
Name: DC MOORE Cash:.
Address: 15665 SW ALDERBROOK DR Check: 100.00
TIGARD, OR 97224 N/A 0.00
Change: 0.00
Type Description Amount
LANDUS Land Use Applications 100.00
383
~~~h CSC 0N~'4~A
RETURN TO: GMAC Mortgage Corporation
100 Witmer Road
Horsham, PA 19044-0963
ATTN: Capital Markets
[Space Above This Line For Recording Datal
DEED OF TRUST LOAN NO: 167963602
THIS DEED OF TRUST ("Security Instrument") is made on February 11, 1999 The grantor is
THOMAS JEWETT MOORE AND D. C. MOORE, as tenants by the entirety
("Borrower."). The trustee is Oregon Title Insurance Company
("Trustee"). The beneficiary is GMAC Mortgage Corporation
which is organized and existing under the laws of Pennsylvania , and whose
address is 100 Witmer Road, P.O. Box 963, Horsham, PA 19044
("Lender"). Borrower owes Lender the principal sum of
Seventy'Seven Thousand.Two Hundred Nineteen and 00/100
Dollars (U.S. $ 77, 219. 00 )
This debt is evidenced by Borrower's note dated the same date as this Security Instrument ("Note"), which provides for monthly
payments, with the full debt, if not paid earlier, due and payable on March 1, 2029 This Security
Instrument secures to Lender: (a) the repayment of the debt evidenced by. the Note, with interest, and all renewals, extensions
and modifications of the Note; (b) the payment of all other sums, with interest; advanced under paragraph 7 to protect the
security of this Security Instrument; and (c) the performance of Borrower's covenants and agreements under this Security
Instrument and the Note. For this purpose, Borrower irrevocably grants and conveys to Trustee, in trust, with power of sale,
the following described property located in Washington County, Oregon:
Lot 355, according to the duly filed plat of SUMMERFIELD NO. 7, in the-City
of Tigard, filed August 18, 1976 in Plat Book 37, Pages 1 and la, Records
of the County of Washington and State of Oregon.-
which has the.address.of 15665 SW Alderbrook Drive, Tigard [Street, Cityl,
Oregon 97224 ("Property Address"); .
[Zip Codel-
OREGON - Single Family - FNMA/FHLMC UNIFORM INSTRUMENT
GMACM - CMS.0031.OR 195071 Form 3038 9/90
Page 1 of 6 Initials:
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