MLP1990-00011POOR QUALITY RECORD
PLEASE NOTE: The original paper record has been archived and
put on microfilm. The following document is a copy of the
microfilm record converted back to digital. If you have questions
please contact City of Tigard Records Department.
van .a (wi keiravn
•
Jean Hassell Family Trust
Attn: Jack Bond
920 SW Stepfienson Ct.
Portland, OR 97219
Dear Mr. Bond:
This letter is in regard to your request for Code Enforcement files prior to March
20015. A search of City records has not produced enforcement files prior to
�
March 2001 t am still searching City files for enforcer Bent documentation.
However, 1 did not want to delay sending you the other information that you have
requested. Therefore, l am sending you the contents of P90 0011 and
MLP1999- 000' 6 and I will keep looking for any added nal information until 1
o ,haunt all possible options.
1 am available to answer questions and otherwise assist yOu as may be required at
503 - 639.4171, extension 317. Office hours are from 15;00 a.m. to 5 :00 p.m.,
Monday through Friday. If I am not available, please leave your name and phone
number so that 1 can call you back as soon as possible.
.1i..fel.Vw .i
Matt Scheidegger
Assistant Planner
iicurpin /mathewic ode /BChdIl2.27.01
o MLP9O- 0001 Land use file
MLP1999- 00016 Land use file
MIS2001 -00016 Land use file
'13125 SW r rd, OR 97223 (503) 6394171 1DD (503) 2772
i" • R'J 8'
P Pit-ANN114d/
‘rean Hassell Family Trust
920 :.W. Stephenson Ct
Portland, OR 97219
Debember 1 2 0 2001
Planning Departmen€
Director
City Attorney
/3125 SW Hall Blvd
Tigard, OR 97223
REIN, Property at 9640 SW Frewing AKA 13510 SW h
Review by LUBA preparation.
Dear \Sir
It has been several months since the initial request for t'.
recQrdo tegard:ing this property from 1959 through 2001 Th
lack of auses
totfIle airerebuttal against the
of Tigard regua st sr
The Planning department has r;�onsistently refused to keep t
original agreement with Jack Bond upon his withdrawal of t
MLP 99, that the planning departmeniM would turn over all r
cu gently being used as data for /against the property. It
further f'4strated efforts to obtain copies of the file by
int that Mr Bond or Mr. Gibbons come to a supervised revi
page -bypage in order to obtain suc% records
S
4,ty
cords
has
nsist-
w
It has been stated by several �O ��ef��AC�'t�ebet�i�W�`i�'�:%� when
of complaints in refer ;ing property',"
copies of these complaints or the basis of the staff comma t is
requested, only copies of pages of materials sithmitted by r. 'fond
arc made.
specifically, full copies
of the following issi known
to Mr. Bond
nd
including any comments, staff notes investigation ins pe `ions,
etc, are HEREBY FORMALLY REQUESTEDI,
Lp
90-00011 -- Frank Van schr�ten. A11, notes, reas�7Y'D for taff�,t�la�,ra%Ta�.+
Any directives, decisions, , ...ding the ro,P r
Y ec�.s�.oxs, �.nqu�.ri�s regarding
use az apartments, or continued use as apartments,. t.ta o
�4 - Lanr� M�nsohor or h arsen
m
All notes, p recon
f rence issues, Any directives, ecisio s, i guar ies rag rd i g use
oaf. the
property 'as apartments .O&arvk Ncir + r ail s. ..1 e s- ,aatsi 54-11. uAktomro,
ih1LP
99 -Lauri Aldridge ( 'iDavid Aldridge &/Or Jack fond 614 r pr. sentatiVe
All notes for the
three
preccnf �� regarding �f icl
encies, c1anges, "'a�ianoes, adj ustm;nts , letters
dsc u�a3as, a��
prior to ,`March 2001. Par�ticu g
to use of Property. if no action,, A certified statement by Tigard
de �nf - - mea�it Fl.le, early in
��.i� ark
city lann fy an Y Y •
d ]Cr>rrcax �:emerlt that no action was taken and reasons,
sincerely, Jas.'k I Bond, Trustee
503/6444000
Pordand-Washinten Square
SW Waahiugto1 Square Road
Tigard, Oregon 972 3 FAX 503/6414654
p�.flfl aye 1 �� �,.. .-.,
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City c f Timed
P0,1Rok 230397
,) d OA 97223
Attn: Mr. Jerry Offer -- Planning Dept.
Dear Sir:
After lIa"Ya Cg the facts involved in trying to get a zone
variance Or our property, I wig to withdraw my west.
I °" ° a portion of the deposit which
would �.�, a refund of
was eubmitted at the time filed. Manic you.
Sincerely yours y
o,
ank -pan S c% ten
ite
a
FROM Tigard Planning Department -'
l O - TM9 . + c 1c®M.A J% I (3 . 1) The . Director has
approvei eub ject ; to conditions a re eet ;Lor 'Minor Land Partition approval
to iiivide an approximately .8 acre pai cel ,r :nta two parcels, corntainiing
apyoroximately " 7,500 and , 30, 768 square het w ' ?ORE s A--4. S (Residential,
4.5 . uni is /sore) LOCATION: 9640 SW Drawing -. Street . (WCTM 281 2CDi, tau lot
200)
Attached is the Site Plan and applicants statement for your review. From
'
inform ion supplied by various � P �nt� and agencies and from other
information available to our staff, a report and recommendation will be
prepared and a decision Will ne rendered; on the p open aL in the near, fu1t'l re.
If you wish to comment on this application; lee seed you ce,
1990. You may use the space provided ., below or attach a Separate letter to A '
return your comments. :" a. ,yse .aa o als % . rae hi' ..,) ,, vas a e please
phone the staff contact noted below With your comments and confirm your
� . If you have any ect one regarding.
�; idle
'cements nmtatin , writing as soon Planning 'Department, PO Box 23397, 13125 SW
Hall Blvd., Tigard, OR 97223. PHONE: 639-4171.
PEE CEc'Y THE FOLLOW/NG ITEMS TEAT APPLY
We have reviewed the proposal and have no objections to it.
P ;ease contact of oaar office.
Please refer to the enclosed letter.
Name of P'+erson Co efting:
Phone Number: 5 39 15 5
bkm/mLP90 1i 0 s
3'. * +. fir!
'PROM: Tigard planning Department
T TXON . ma 90 -00 SCRUM- , ( PO �.I. the Director has
p : �� t�.o� appacova
approved s�ubje to ,Conditions ,a *requa °mot for Minor Land parr f
�{ as «o�i'le oontaiing
• to divide an approximately .8. a�ora� ��ar+re�. �.nta�a�. two �
approximately 7,500 and ' 30,.768: sa�quax' feet. ZONE: 1R. -4.5 (Resident , 1,
4.5 unite/acte) tOCRTIONg 9640 'SW Vrewing, Street (W6E4 251:.2 a,_ tai;,, lot
200)
Attached is the S,Ite ?len and epplioant,e state aft for, your rev?. . From
information eupp l ied° by various departments and ageneiee. and from other
. information available tam our etaf f, report and rec ndlation will be
& »e aid and `a decision will be rendered on th . propoia] , in 'the, eap. future.
If you wi
separate tp . eaaaent On tllie ��aplioatia�tnr ,� .. � .�....�.....�.�
eh ..
1.g i . You may .use the epac�- provided below or atta 'i u par letter to.
return your cow nto e . f . a . e un .. a to rage r a rd b t , ov date. please
Owner the staff ' contact noted below with your ,:it eithslienio , ' and confirm your
a rite in writing as soon .se �oeeble. �� you vea
any e, eetione regarding
�.o� oxa a
Planning, W
�® �.. raft i Noy 23��7'v �.3��
this �httc�r, � contact the Tigard
Hall 'Blvd . , Tigard, OR 97223. PHONE: 639 -417
ST/1PF A : 2Agg R. Goodwin
PLEASE 011E0K THE FO OWING ITEMS THAT APPL e
We have reviewed the proms al and halite no objeotiona to
Plea ®e• oontaut of our of fieee
1p►leaee refer to the enoloemd letter.
Name of 'Person Commenting:
Phone Number
bkm/ -11.8KM
8
c ' TG o a �lani� � ®�a�eait
The Director ,haa .
approved 's subject to cos�at1itions a request tor; or Land' Partition a roval-
L�lp parcels 'oas�ata�i.ab.aa:+� .,
.8 acre. °Ce1 into two to a�£�,�.a�a� an approximately - � � ��Q�z ;��-4. �+ ���.�d�a��ia�,,►
e and 30, 7 Bquar8 i .
as ��.�ote�,y 7,500 ,..
'�.fl Street (WC T14:251 2 , ' tax lot
LOCATION: �6'�ID ,AFB i�7'�
JD)
Attac h s . ie the Site ,Plan and aaa .icaant • o etat
information supplied by various departments
.information avaaila ble tio .our •staff, a ► a ,�
'prepared and „ a decision will be render on the ,
Z2 wbfah tO cconient on . thte ,application, .we *, use the a toV d below 0 4.
return' your ooltaa n
a One) the staff contact notod below with yea
cements in writing as soon as possible. ICE yo'
this matter, contact that Tigarti Planning Depart
Ball Blvd., Tigard, OR 97223. PROM: 639-4171.
STA.F2 CONTACT: 3': '^''"
1SS TRW AFPLICs
PLEASE CNRCK TDB FOLLOWING
We have reviewed the proposal and have no ob Q *t ofo to it
of our office).
VALLEY TUALATIN
' DITARTMENT
ewe BIRCI i.
w* Fare Mi, all
glans Smudgier
503- 626.2502
FAX 5262538.
4156 SW. Garth a • Beaverion, i°'°°
Name tit 'person Coment .
phone Nutgie r:
big / . ? 'C -1 . 13 t
` COMMENTS
Wag: 6711ne 1990
PROM Tigard Planning Cepa tmend
t LINO D PIRTITIoN 2.01.P 90-0011 VAX. scHOTEN fp ,.) The 'Director ,
:app 'oved. subject to Conditions a rc\qUeist for Nittozji and Pa.;`,rtitioxi, approval
to divide an " approximately ,► 8 acre parcel into parct;Atts Containii.ng.
A W, pproXin1ately 7, 500 " and 304;768 ears ;feet. Z0N1 .: R-4.5 \I (eaidentical,
4.5 unite /acre) LOCATION: , 9640 SW Prewing Street iWCTYM 251 2C 13t 'tax' lot
2U0
Attached is the site Plan and applicant, • s d%ta‘t ement for yot review. Froth
information as lied by various departments '*Ind a genci es ana om her
staff„ a report and rec endatican will be
.information, available to our ssa po ,
prepared and a decision will be rendered on the proposal in the " near future.
If you with to comment on this application, gstmett 25,
19 . You may use the apact p separate letter to
provided below ®r attach a P
return 'your c ntn. ! vcau are u.! to ra® 'era re date please
phone. the staff" contact noted below With your continents and telifirm your
'comments in writing, as soon as possible. If you have any c eationd regarding
this matter, contact the Tigard " Planning pepartmant, PO 4O c UP/0 13125 SW
Hsi], Blvd./ Tigard, OR 97223. PHONE: 639- 4171.
STS° et 14TA :T Viola R Goodwin
PLEASE =CIS TIM FOLLOWING WING ITL)S rlitte APPLY:
We have reviewed the ,propoasa.l and kaaave no aob jectione to it.,
k' ,aane contact of our office.
Pleas+ .6 refer to the .nclosed letter.
Wriv.ten s ommenta c,
Phone Number:
P"ANC 'P 'twit go -.00l "J ,, i5 (Nto #1) The. Director has
d subject to conditions a, " a est , gar r Land . Partition a j royal
to dS:riide a k appiexifilately .8 acre para41, ita3to two 41dele containiing
appro :Mia atei t 7, 500 . and ; 30,,, 76S square feet . ZONE: '`�` 1-4-11.c5-71 .- (Residential,
4.5 units/acre) LOCATION: 9640 SW Frewing Street, (Weill 281 2CD, to lot
200),'
A tiched is the Site Plana Sod applioast'4 ' stat *1t. for your review.' Fri
nfor m►ation supplied by v&riOn �
dep�onte ao d a
iagencies -and" try ,of .. r
.;information 'available lac ble to 'Owe. r Staff, 4' y a czd,f ra„aconz nt a lion iill be
**pared red a nd a deciaio4' will .be rendered on ttae -sagoeani, is time *coos:: futux.e.
Y ate , wi sht t.o colo eflt on this a l:ication, + 0 s - . _ a
Y
Q. 'ou oay . see the space provided below a attach o'a separa to
return b 4e mptcvo 1at please
phone the staff contact noted Abe . 010 your „c ►ts confirm' yob...
comments in writing as soon es peSsirible. If you eve any qaestiona regard44,
this g g D spar , 141;$ SW
matters, arontaot the. '�'i' a�rrd Pla�anriiact �e ®at, P�9 � �3��A��
Hal/ Blvd., Tigard, OR 972;3. 1V0 a -639 417► ..
STAFF CONTACT: Vi® fit. in►
PLEASE . CHECK ' THE FO
OWYNG ITEMS TRAT
P'L'Y p
W& have reviewed the proposal objections to it.
` gay. and :have no o���o�
Please contact
Please refer to the enclosed iett0-a .
Written Com ents e,�
Name of Person Cs mme ti,nc
Phone Neer:
HI T ' 90 -0011 VAN SCHZTEN ((Wu i ) 'The 'Dire or ., e
approved stibj set to conditions a request for Minor- Land Partition approv.:
to divide an appraxiL a ely • 8 acre parcel into parcels contaiaaiing
approximately 7,t400 O acid 30,768 square feet. ZONE, R4.5 (Residential*..
4.9. Units/acre) "4 iTION: 9640 Fr'*:ing 2tr t (WCT24 2S1 2CD, tax let
200)
Attached is the Site Plan avid applie» •;.. "r r e staterexat for your, review. ' Fro,
info oration supplied by various departments and ago acies , , and from otter
,information available to cur staff, report and recommendation will be
prepexed and a decision will be rendered. en , the proposal in th near futi;2e.
If you WI' : h, to adamant on this application, we need your comments by attnxi,),M,
o � You t�� � p we provided
or att ach ta ch a
separate let
ter to
return your c a�td� f a iabl� e s nthn mo /pleaso
phone staff contact noted below with and confirm
comments in writing as soon ate possible. you
have an questions regarding
thi.; , matter, contact the Tigard lanning Department,' -PO 50x 23397, 13125 SW
Hall Blvd., Tigard, OR 97223. PHONE: 639-417/.
PLEASE CHECK T PGLLOi NG /TENS T . APPLY.
We have reviewed the proposal and have no ob jectiona to it
Please contact of our of ice m
Pleatae refer to the enclosed letter-
Written Contments rt
Jun+a 1219.90;
6m' Tigard 1 ?leaning Department
MINOR 'A PART TION ELp 90 -0011 vAN SCHOTEN (N PO 11) . ane` ' Lrector has
e !proved a bject to conditions a request for Minor Land Partition apProV41,
to divide an approxiii ely 08 acre parcel into twc parcels coz teiniir g
pp 0.164- were feet. ZONE: R--4.5 ( e,tde�ntial,
4 r+c�zi.:s we .v a) � ,AT Olen 954'1 SW Frewin S .
4a asaaaita� /a�cr re ®t gWCTU 2S1 2CD, tax lot.
Attached is the Site .plan and applicant's statement for your review. Prom
.iinformaation, ' su plied by various departments and agencies avd from other
information available to our Staff, a report and recommend ution will he
prepared and a ' decisid* will to renderOd on the proposal in the.' near fT.��a ur"e
It you wish. to comment on this ap licatrion, we meed.Your to 137 a ,Pm
2990. You may use the space provided below or attach a separate 16itter to
return your commente. if vcau ,.ns a una a to res�cond by tb; a v�e,,;da�ta .._. pl w sc
`Hone th staff contact noted below with your comments and confirm your`
co nent8 in writing as soon as possible. If you '; estions regarding
yt.� Haa��e any i �Ca
' , g r Planning De srtm
Chia matter: contact the Tigard �la�nanisn p
ent, PO 5ox 23397, 23125 SW
Hall Blvd-, Tigard, OR 97223. PHONE: 639-4171-
STAFF CONTACT Viola R. Goodwi
PEE CHECK TEE FOLLOWINO IBS THAT ArPLY:
Fie have reviewed the proposal and have no objections to it..
Please contact of our off:a.cea
Please refer to the enclosed letter.
Written Comments:
' flocis'e
wo I
Name of Perabn '!on aerating /2)R' 4( * )
Phone Number= 4
bkm /NLP9O-11.8KM
PROPOSAL DESCRIPTION
FILE NO: ULP90 0011
FILE TITLE FRANCIS VAN SCHOTEN
APPLICANT FRANCIS VAN SCHOTEN
9640 SW 'RENING STREET
TIGARD, vg 97223
REQUEST: Applicant requests Minor Land Partition approval to divide an
tprox.unately S acre parcel into two parcels containing mpproximatea,y 7,500
and 30,768 square feet.
LOCATION: 9640 SW Frewing Street (WCTM 2S1 2CD, tax lo..: 200)
ZONING DESI(''NATION: R -4.5 (Residential, 4.5 units per acre)
COMPREHENSIVE PLAN DESIGNATION: Low-Density Residential
NPO NO:
CHAIRPERSON: John Owpaci
PHONE: 620 -6494,
X STAFF DECISION
PLANNING COMMISSION DATE
HEARINGS (VFICER DATE
CITY COUNCIL DATE
X REQUEST FOR CON! NTS (see attached list) RETURN BY .�../ /
ATTACHMENTS: ,.�X VICINITY MAP LPNDSCAPING PLAN
NARRATIVE
ARCHITECTURAL PLAN
X SITE PLAN
PREPARE FOR PLANNER APPROVAL:
_x ADVERTISEMENT TIMES _ OREGON/AN ,�/ I...a,
] NOTICE; TO PROPERTY OWNERS TO SE MAILED //,,NYe,
LETTER OF ACCEPTANCE OF APPLICATION � /
Fettrc
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[Page Too Large for OCR Processing]
r
1,1198 'ri' to
30,19' 0
yT Al EM 74 110 1 10 54
Property Deg uriptio
Map Number
r 11
_ R 46 72 64
x Lot Number)
Parcel.
SH IN GT AAA t ownship Range Section 1/4 ( 1116
UNTY '2S12CD..00200
AL
+arty Trix s
Acres I Class Sub -Class
Discd hrt.
Cash
Special
interest
Pull Number
Total
Change
100180D
Y AN C HO TL t FRANCIS H A WD
MARGARET
964 SW FREWING ST
T IGARD,- OR 97223
loud Suacrni Asl■essmyt,
Total Tax and Asseesmlt
FULL 3%
2./3.2%
1/3 - None
Discoum Allowed *
25. 26
.Pay Ey .
1,;6911. ad;►
0.00,
b.e 894.86
33 896.86
Pay nt T� AmRounts
11/15/81 1.237.98
`'/ 8Cv. .631.,62
Amount st . is . tatement
0 0014 67 28 40 00 0183 8010 00 0123 79 80 00 00 6316 2
PLEASE RETURN THIS PA: P " WITH YOUR PAYMENT r— Tear Here
S TM TO Account Number
105_338 28 4 •
Property Description (Tax Lot Number)
Map Number Parcel
Township I Range 'Seaton' 1/4 1/16
2S 12` C ' =0 02`00
Acres CIaC's Sub•Class Pull Number
ton Protwrty
y P�r � ; year
1, to
3q,19 90
SH IN GT 0P
I U T
AL
Code Area
02 3.74
Special
Interest
K ►ty T,ixts 101
IX% 29 918 65 52'00 4
XX 9640 S FREWIN /G ST
XX
'XX
R TS
(1 00 18 0)
VANS CH0Y EN, FR ANCIS H AND
MA RG AR ET
9640 SW FREWING ST
T I GA RD 9 OR 97 22' 3
7
A
X
Assessed Value
LAND
o 1MP'ROVEN EMT
A
S
O
N
Net Assessed Value
Tax Rate Each $000
Property Taxes
Current Taxes Levied By
WASH !N GT ON COUNT Y
ESD WASHINGTON, CO
PC C
SD 023 a TIGARD
WA TER a, T/ GA RD
BOND S...VNIF IED SEWER
T V Fl RE E RESCUE
PORT OF PORTLAND
CI TV OF T I GA RD
METRO CIERV ICE, DI STR
Last Year
3 00 0
48.400
8 3940 0
24.2967
2 .s 0 26' ..31_
RTS 94 51 80 6...31 01 134 D 9640
FREW IN ST
Sig'
0 F 10 /1 5 / 89 Interest Included TH R U 1.1 / 15 /18 9_
_,
,rtgtaent Taxes 0 .0 a Tax Year Amount
closuro proceedings Will be
tad alter July 15 on real
tarty accounts with an unpaid
tics for any tax year marked
an asterisk (.k)
jkertY Tax Totals
A
s
PE
CM
I`Nt
Tax Rate
�.4IKb
0.261
0.94)2
14.53*
Us 12E
0.265 7
2.52 1
0.29
2. 7869
Os 32
Total Taxes and Assessments
.EASE AS SE SS ME NT AND TAXAT I,0N
A6 E' P.O. BOX 35 87
PO 7201
tYME�fT p • OR ✓ 9
64.8...87' ,41 OR TI GARD .684 —e 61.?
Disc, d Int, l Total
Cash
Chang
90 P RO P TAX WA SH IN ON C OUNT
0 ..
PR 10 R !rc AR T AXES ARE DUE THEY ARE NOT
Lr. �DED IN THE b9.90 PAYMENT AN0UN -1"i ABOVE
gAV'r 1111q pntt PC"tt?i " t Its t r'1 rroR�
PULL.- 3%
2/3.2°,o
1/3 None
i+t r
.
Tear Here --
This Year
3499 60
439710
78 96 70
24.0862
1'844.86
Tax Amottin
15 91:06
0.60
74.11
1914 3.61
10411
2`3.90
39. 37
23.26
219.'25
25.59
1►894.86
1,894.8
Discount Moteed 10 Pay': By
56.35. 11/15/89
2 5.26 11 /15/ 89 rt
11/.15189.
Esy one c l moss Amounts
'818.01
237.98
.�► 23 7.91
,.631. 62
V rmttI §TIU
T1�nikt+
FIF
R 46
284.
to f' Review _
CITY OF' TIGARD
COMMUNITY DEVELOPMENT DEPARTTME
PRE- APPLICATXON. CHECKLIST.
APPLICANT �/
PROPERTY LOCATION
Address.'"
Tax. Map /Tax Lot L cx)
. PROPOSAL DE CRIPTXON /NECESSARY APpLICATIoN(sy jo A- ri r`
Exsting the '�� Ada
i
Adjacent Property
north 5tv% re- left
south
east
west
• COMPREHENSIVE PLAN DESIGNATION 4 ► _ � ti "
. ZONING OESIGNATXM
.. .
. : NEIGHBORHOOD PL.INING ORGANIZATION NO. CHAIRPERSON,_
PHONE _12.211:1A51,,
P
e. CODE REQUIREMENTS
Minimum lot size /width ./
Setbacks: front ccr+er side rearI.
Special setbacks: streets established areas
lower intensity Zones „r,. wetlands
flack lot '-"" accessory structures zero lot line
`1Ma : mUM lot coarerag a
I' Aximum building he'ighb
t-
co
.Special`; height lisikits
Oensity calcination
flag o
Oenxit transit 1411r1
Land sc*pin9 aiel/
/NAM X Of lot area .'�_...
Street Trees
i _emu
'Buffer Areas ,, ;._....,,,- ..-• -.
t �,.
Park trig Areas . ..�.. ,
Visual cl . rant , `..".
Parking .acid loading . . ?Ark' i
,• �•- cQ V eve.
rL
Access and circulation
V
tfiVewtt
Sign >is `''�..•�• spveiific
gsmiRATI �S ,ist for
,e e� �aplfcatr�an ���� .
drt tnagOial 1.2.5%
?.
Sgnait'ive 3onds: •flp�fg► - �._...
wetlands ..
Open space
Hlstot`ic OVerlay
Street lmprneteaentsl�s.
od
,t , i " toc.41L 1
e. Ai di v
0
dedication "1":
Sanitary Sewer lmpr ov ten ' , ,, 1+1.
Storm improvements s Sd i
Sto ' ° - - ---- --
.y
r <�11.�:.i ,i° itOtI
Improvemeft agreement Peit ity . Bonds; Fees '"•..'....,
•
Other agency pe
1'°twlts
10. "PROCECATE
y .
Administrative staff, revi+
offa�cer
Pattie olieatingilleari s
lic l�a�°�teg�1�
0001101.400
1140 Ad+eftstoratti dectt on Public laring
A � t6� 3O alit after" at cooplate ":'a 'pli' t1 A s 9
a�pp�i► 1 Y
at period fa►l iwrs alt decis1*ns.'
.wi
44111
ft
[Page Too Large for OCR Processing]
a
r
f
ta,f
ate';
CITY Cfi °TCCAR
, !
,'„IN *Y DEVELOPMENT 7O )
E A '
'r SENT i
APPLICATION CHECKLIS`T,,'
The' °', to ms . on the cnec1;,a ist . below are iealui.rad for the successful cor pletion
our'lapplicatlo' suboisrxon requirements . `1 i checklist Identxf4es w1 at as
required to : be submitted with your' application This , sheet MUST/ be brought
and' , .s.aomitted with all other materials' at ` the time "You,," submit Your
a�PPl$,'cat on. ,See your apa1icati(/ for furlf her' ` explanation-of these $ items or
call_ Planning at- -t4,9 -- 41/1..
'L�P0 -r, 0 BE,
S G MATERIALS INCLUDED:'
A) Appllcation form (1 copy)
) Owner's signature/written authorization.
C) Title transfer instrument
0) Assessor's map 5,
E) Plot or site plan
v e
(H) Filing fee ($ )
}
SPECIFIC MA Y TRIALS
A)1 - .Site • ref• ormatiorro :s owi? L (No. of copies
1) Vi,�, ni tY ' -iap
2) Site size & dimensions -E
3) Contour lines (2 ft at 0-10% or 5 ft for grates > 10%) C ]`
4) Drainage patterns, courses, and ponds C 3
5) Locations of _natural haiard areas includinVi':
a) Floodplain areas C ],
b) ' Slopes in excess of -25%
i
c) Unstable. gro ind t 3
d) Areas with h'igh seasonal water 61ble C )
e) Areas with' severe soil eros,Lon pothtential [
f) Ares having severely weak (foundation, soils ( 3.
6) Location of , show on the Comprehensive
of resource a� eas s►s
Map inventory including:
a) Wildlife habitairs 4 3
b) Wetlands C '1
7) Other site features:
a) ppings
Rock outcro
b) �� p fee
from ground level
� {a Trees with 6 �' caliper measured f
)- 8) location of existing structures and their uses
9) Location and type of on ?nd off-site noise sources
and c'iasements
® �' 10) Lo4.�ttlbMl of existing utilities
11) Loca :t ion of existing dedicated r ighk, -of- Way's, ` 3
Site Detree aement Flan . ' :st.o ►ing (No, of Copies :
1) The proposed site aril surr^oundina properties
2) contour line intervaa s
1. and n"itres of, '.11.t
3) The location, dimensions �;, .
a) Existing & p'latit'iti steeet:3 4 other publi0 ►5ts
and easements ,f Gin the site and, on adjoini;
Properties
Ar PLiCATI0N ;CREckLIsr
•
4
CO
b.) Propo,, ed stre is or other pub]�ic �a ,y e A em n s
on , 1'�:he ,s1-t6::.
c)� Alt irnative ''routes. of dead `end .. or pJopos"d{
streets that requir €uture exter,s'ior
'4) T'h'e location and divie asion of :
a) Entrances tans :ln its. <, on the site
b) P' :r ,ing an0` ci w'S.kt ,ton areas,;
1 c) L ,,ding and .servi esar„eas
'
d.) Pe estrRan a9d bicycle, circuiatim..
e } ~ Outdoor “.commo;l areas,,,
f) Above ground utilities
5) The ,location, dimensions & Setback distances of all:
a) Existing germane'',',;,', struc tur^es; improvements,.'
.utilities and easemernts which are located on
the site and on adjacent property within 25
feet of the site
b) Propose structures, i provements,
uti1tti2s. and easerr�errts on the sine E ]
�) Storm drain +ge facilities and Analysis of
downstream: conditions C 13
?; Sanitary sewer 'faciiities �� 3
$) The log':at ion of areas to be i and soaped C
9) Thv,, location and type of ' autd0or' lighting ,
considering crime preVentton techniques es 1 3
10) The location of mailboxe.; , E 3.
11) The location of all structures and :hear or'i!in ,Ation t y
12) Existing or propc'3ed seweer reiruburs meat agr^i ements,' [ 3
d;rad in9 Plan (No. of cowl es ) 1 3
The site development pin shall include a grading plan at
the, same scale as the analysis ,drawings and shall
contain the following irt?ormation:
1) The locations and rextent to which grading will take
place ind,icati;lt.; .`geh►,er^al contour" 1ines, slope ratios
and soil staba,lizat4ion proposals. and, time of year
it is proposed to be done ti
2) A statement from i registered engineer supported., by
data factual substantiating!
a) Subsurface exploration and geotecnnicai
engineering report
b) The validity of sanitary sewer aid :. storm
drainage service proposals
c`) That all problQfs wi i l be ' mitigM ed ,and
how they will be m .tigated
D) Architectural Drawings (No. of copies
The site development f� plan ropo y
"' sal shall include:
1) Floor plans indicating the square footage of ail
structures pr<< ''used foe use on-- sit6, and
2) Typical elevation drawings of each structure.
Landscape Plan (No. of copies ) :. ,
Tha lan4scape plash shall be drawn at the same scale of the
site i 1 ysis plan or a larger :scale if necessary and ,shall
indicate.
1) Description of the .irrigation .s stet who appii able
s +r+ erring
2) Location and height of ferrcesr buft"ers
APPLICATION C 1clt4�IST p e
(3
1
3
a
„t,
1.
•
•
J
:ly
ion �of teraces, decks, 5hette � areas
0.
common open' spaces'-
4). Location,. type, size `:and'kspecies >f existing and
proposed' plant materials.
,The landscape plan shal i
l include a narrative wit ch ,addresses :
�)
soil c and it,14 ns .
:r'osion'ocontrol measures that will be Use •1
S i9n Dr�,awi � s � • . , , ( ; , �
submitted in accord'ane ;w'ith "Chapter
Sign dry► wings shad be
18 114 *f the Code 'as Part of Site.. Development '`Review r'or
prior to obtaining': a Building Permit to construct 'the
T„raff is eneration estimate
Prolimintiton
(No. of Copies ..
1) . The owner of the sure) e:.t parcel
2) The owner's authorized agent
3) .'The 'rsap scale, (20, 50,100 or 200 feet=1
or
lot 1 ► ustment map showin+
arrow and date
. inoh o north
4) , Description of po. +cel location and boundaries
5) L,7.:,atirn,. width and names ` Of streets, easements and
Other public ways within and adjacent to; the..;parcel
6) 'ocatAon'iof all permanent buildings on and within
25 fret,of all property lines
7) Loca i ion and width of all _. water, courses
8) LocatiOn of anu trees with 6" or greater caliper at
4 feet 'alcove ground level
9) All slopes greater tan 261E
10) Location (f , existing Utilities and . utility easements
11) For major land partition which creat e a public itreet :.
a) The proposed right:-o? --way location and wad
b) A 'scaled cross — section of the proposed street
plus any reserve dtrip .
12) Any applicable deed res,trictiotr►s
13) Ev i enre that land partition. �111 ' not prey
'effica'ant future land division where, applicable
I) Subdiuisio'n Preliminary Pig 1ita► y and'
l. 'data showi (No4 of w,
copies )
1) Scala equaling 304 50,100 on 200 feet the
in
and limited, to one phase perk shoat
2) The !proposed name of the subdivision
�d
3),
Viti it map showing property•' st relationship t!
arterial and collector streets
4) Names, addresses and telephone numbers of t►:46, pwner..
develoPer,,enlineer, , surveyer, designer,' a s ►p ?! 4tabpate '
$
pate of 4APP..•.ca41t
6 Boundary liners Of tract to be subiVided
7) Names of adjacent subdihlsion or nam % of roc trd
owners of adloz.n1.ng parcels of unsubdxVideo:
e) contour 'lines ro., ate! 'to a .City - established behd
mark at z -foot i,)terva). s f� ..,," 0-10% gr Adis reciter
than 10%
Apl LICATI.ON CHECKLIST . Page, 3
'!I
Cw
C»
141
o
A
9) The.. purpose, l-ocation, type and siz y o ail of`
fol.low,ing, (within and', adjacent t'' tie; proposes
subdivision),Q tc
a ` Publ,i'c'' and rif`vate r1, ht --of �'s an�,. ea�isements 1
b)'. Public and 'private sanita��ry i'14 st rm 'sewer dines "
C) I o .estic 'water ma3 ns including i`,i��e;' by ra is
r.� o or stele pone transm�iss. �o l Ines
d Ma � p! P �,�>
(50.,000 :volts or greater) ` 4 ti 4 ��
e Watercourses (
f) peed ' reservations, for parks,. open;, space, ;pSthways
X41. ,...
and ''other. and .encumbrances.:
10) Approximate plan and profiles of proposed .-san t,.ry and
storm sewers�;�with g�rr des. and pipe sized indurated
11) Plan ' of. thq proposed. rater distribution system.,
showing pipe ' sizes Ad the lOcat on f valves�,And
fire n , o
12) Apwroximate: centerline .profiles shoe 4n9 the finished
grade of all streets including street extensi:onse for a
reasonable distance ,b ,yond the limits of the 'pr®rosed
subdivision. C .)
13) Scaled cross sectJionri- of proposed street , right 'ofL quay'; C ]
14) The location of. all 'areas 'subject to inundation'or*
storm water overflow C ]
15) Location, width and direction of flow `cif all water
courses .and drai .n �g C 3
co ae :way 3 ,
16) The proposed 'lot' ,,,,, :r'igurations, approaeAmate. lot
dimensions and Iot numbers Where: los \`•s" are to be.
used for purposes other' than residentia'�l,, it ?shall be.
indicated upon such )lots C
11) The location of' all tees with a.diameter 6. inches or
greater measured at 4 feet above ground level .and "
the location of ;proposed tree plantings, if any [. .
1,8) The existing uses of the property,' includi'ng the,
location of all strructur'es and the present uses ofi�
the structures, and' a state.:.ment of wi ,ich structures
are to remair, after plattinV C . 3
19) Supp e►sental information including.
a) Proposed deed restrictions (if any) ` 1 3
b) Proof of property ,ownership I 3
c) A proPosed plan for provision of subd iv ii ion
improvements 1
20) Existing natural f eatuees inclmding rack 'taut--
croppings, wetlands and marsh areas C'
21) If an i of the forego"inra infer ation cannot p+racticabiy
be shown on the preliminary plat, it th0-11 be
incar p #rated into a narrativa and s ubmi,M=,ted 'W th'.the.
application, C
a
Other• Information
(2362P.0028P)
APPLICATION CHEM.:1V
ge
NEIGHOORMOD PLANNING
tit: RE 4IREJMENT.
Minimum lot saizetwidth 4�. i�` Jgive fib .
Setbacks: frok,!4� cornet ..., side.
!';t cial setbacks: 3treets ettabltshad are
lower inten' ity zones ire lands
fla g lot �xc .� +ces sory structures r: zeV lot I,
'itagimom lot coverage
flaxiteurQ bui .Ong height'
..Spec iai ' height limits . flag ot s ,
Oensity calculaat ion
,.. �.,..•�
Landscaping: minister of lot area
Street Trees
Buffer Areas
Parking Areas • °�"''• ,,,,,,v,a' ''
Visual Clearance'
Parking and loading
Access and tikulation ir Sew y �. ry
-� -4r
Signs
OTHER CONC3100ERATXARS (See application 'checklist for specs!" is lteos)
Sensitive lands: .flcodplain d sa list s10 ,....;, .
10.. TritOCEOU,RE
iu a daai&ast'rative staff vi ;,,,.,,,,
MBA° ii ' V �'YfrrJ �P , •ir"ing Officer
. ficer
!Ww
h ,F•,,i � I ; :.. - publatc
teateirOp Css$i40
Rdoinistmtiiwe - decisi
Public
shap r
...;ms e lication • is filed. A
• ` xp �cioxtely 3a daa�t aa� +tee *a l
r appeaal period •%Mows sions '
I
ri
ate % .
+CITY . OF TIGARD
COMMUNITY D'V LOPMENT>. DEPARTME
APPLIC.a'TION „CHECKLIST
Thee ,items on the checklist below are required for the successful.'.comple
your application sibmission ” requirements This checklist identif es,'
r oguir'ed :ta be submitted with our. ;application. This. ,sheet MUST pe brought.
aired .."submitted all other ma terials ' submit" Your.
spplicatsdn:. See Your appl,icaton fear further explanation 'of these' ,items or`
call Plar4ning at 6394A171' L
BASIC MATERIALS
A) Application form (1 coPY)
�;B) user's signature /written °authi rization
C)' Title ' transfer'. instrument
d) AsaAssdr°'s 'map,
E) Plot ooh sitee .plan
(H) Filing fee
iota
SPECIFIC 'MATERIALS
A) 1 "i Site Information shows (No. Of copies
1) Vicinity Map .1
2) Site ;size. & dimensions
3) Contour lines (24 ft at 0--10% or. S' tit' for g►r•ades ION.)
q) Drainage patterns 4 courses;.' and ponds C
S) Locations '' of naturbal hazard areas including:- ' l
a) F1l ndpla3n areas
b) Slopes" in iaxcess of 2S%
) Un *Atabla. ground
'le'
tab'
d) Ars�ias �r�,tta . hi��i a�easonal meter
e) Areas with' severe so,a1. erasion potential
f) Areas having severely weak foundation, soils `3
6) Location of resource "areas z* shown on the ComprehenOiVe.
Map inventory including :
a) Wildlife habitats C
b) Wetlands
7) Other site feat'
• a) Rock outcroppirng
b) Tr ees with 6e' caliper" measured 4 feet
141,veIJ }. .'.._ •y � I
from ground , usp ,
-
R) Location
of existing s�tri�,ctur -ff site no��se sources
9) Location and yp'
10) Location of exitt.ing utilities and easements':
ii) Location of existing dedicated right -Hof -rays
E) Site Develo22e0t .plan 'iIcAw " cNo of copies
1) The proposed site aixl surrounding Propertiesji
2) Contour fine intervals
3) The locatz.oil dimensions and names of all
#) Ex .st .nl & Platted %treats & other' publl
and easerm ntz on the site and on adioi,ni
`pert *es.
APPLICATION CI4 page 1
0
LEGIBILITY STR
ar
°o ' on 'of te'trac�' ; de k a' � 1 ii:play ar, ears:
� 1;1;.�y t dxl y� ,! fa7i5 `fi�R r '��
r 'a of o en 'spac+as i .a L taK ` Y raies w '.r , ; r i,•
R �;1 of hex a stI ,.
� c
1 %nt ma rzal
proposed' R � • 1 C, •��, �hich addre�s���
The . landscape la �ahal�,. include ar.,narrat e ,,,,,...,,/ �, , •-- r u.,; ,.
Soil conditions
that wi l l kii `used' e '
2') �Er^'osiorr +�c�ntrol �neasti��Ires
$�1�n��sAw1 S,. , Ir.f? , t�r'.
Sign drawings: shan:l l be ,submitted f n accordance with Ct ap;
� :Review
18. 114 of the, Code as:. part "`oof . Site', Development
Friar to obtaining a: gullding Permit to consdtruct ,thQ. sign.
l Y 7 WSJ %1 r Apt .
1,0 l., ratian a tinsad_
PPrel iliar VIA t`iori or 'lot ine ad 'test nt c
�, w
u..
upq of s
(No D .. o• 'Yvv�dM�' • r
1) The owner of the subj nct: pa rt.,
2) The owner' s 'author # , ,, , gent ,t ' r
'Tie ma ,scale ,(20,501 100 or 0°4,0 d � inch north
arrow and date " ° [
f parcels .location,,.and...i oundaries
4) Description ° a� �• gents ,and
5) Location, Width' and' names of, streets, aasai.
rce'�'
'other public, ways within` acid adjacent,. to the ' pE I
i
6) Location of ill' pereraane at b,+uihda�ngs ; on and within
25 feet Of all property lines A'' y l
width of , al's. water,' '
.a I
7) Location and, �:�eate� c�ii�� at
8) t6.ocation of any', trees with 6 ", or' r
4 feet aboveground .litre, `
haan< 25% ,
9) All slopes great+�r,�'� l�r 'ti�,as :and `oati,��3�'�y Qasemea�ts .
10) location of e i tlr g Utz : a
11) For majors 'land.�'partition which '+reates' a', public" street:'!
a) The proposed right - Of--e y 4 lo' ation ld►nd width
f "th,, " proposed street
�) A' scaled i�r"os'�- sqctioan�, o.
plus. an reserve strap A
12) Any app licable deed restrictiOlii
. r
13 � Evidence that land � pa rtition: wi.l�l`. . ',
t pr.
ocud
o
efficient future land: division where applicaba
(O
I Bubj�,vtion. Prel%eairrar pimp Vii' end •data► showir, rt
Copiett inch`'
1) ;>cale equaling 30,50,1 . ot 200 feat to the ,
pe r .
e
acd i ea ved to one phase sheet .t
t
2) Th� proposed name of, he subdiVision
3) Vicinity map howinpr rty ,�e�►tOnsh
o �o
ar�ter1a1 and callector street
4j Namet� addresses and telephone numbers of
, thewn
r..
Bevel:P a eng�neer� uraieyer , desaggnr app . ►le
5) Date
of 4001itation
6) Boundary lines of
tract to
' be subdiifide
7) 'Names of adjacent subdx eis ion or ranks of ec:0
ir
o;rtrs of adjoining patois of
unst�rlDdiVided 'l "nd
%` Contour linos • related to a Cit1..-es ,ablis) d berth-
imark 'at fact internals for 0-10% grades Brea er
than 1st
APPLICATION CHECt LIST — Page 3
4
AVE
102nd`
EW t
sow. "9, th CT
DAB
FAUNA Tigard' Planning Department
Pq TI„TIQ MY.P 90 9,2 V SMULVI (NPO #1) The ` Directtor has
� � rrrs rr.�wvwrr� r�.� �irarwr.er.a.r .. ����
approved subject to conditions & request for Minor Land Partition aiaprava l
to divide ;'an approximately .8 'acre parcel into two parcels containiing
approximately 7,500 and 30,768 square feet. ZONE: 2-4.5 (Residential,
4.5 units/acre) LOCATIONS '9646 SW Preying Street cigcTM 261 2CDP, tax lot
200)
Attached is the Slits Plan and applicant's statement for your review. From
information 5upp] ied by various departments and agencies and from other
.information gtvailable to our staff, a report and recommendation will be
Prepared and a decision will be rendered on the proposal in the near future.
If you wish to comment on this , application, we need your cep by Jima' 25,
132.11. ' y space Provided ?below or attach a separate letter to
You use the
return your com tints. If you are _ur amble to le an the a a ..dat' , , please
P ,� r a Y� r a o �r estiOne �i� � yoga
Phone the staff contact noted below wits, �crur comment: and cote
comments in writit9 as soon as Possible. If you ha. r a� �, qu yarding .
this matter, conta 't the Tigard Planning, Department, Po Box 23397, 13148 H
Hall Blvd., Tigrsrd, O1 97223. PHONE: 639- -4171.
STAFF C)NTACT: Vie L ,:,, GoadwArt. ....
PEASE CHECK THE FOLLOWING ITEMS THAT APPLY:
Vie have reviewed *he proposal and have no obectione to it.
p .coan contact Y of our office.
•
r:�rr�lhr
Please refer to tho enclosed letter.
Written Comments:
Name of Per :on Cormanting
Phone Number: 'q
bkm/MLP90.,..11.BKM
NPO NO.
CITY DEPARTMENT
Building In Pect!br /Brad R•:
„• c Recorder
Engineering /Gary R.
xcAT rr LIST FOR ALL APPLICAT
2 crpiee) .
SPECIAL DI XCTS
mow_ Fire Diat2i9t
(Pic up. )3ax - bldg.)
Tigard Water District
8771 SW Burnham St.
Tigard, OR 97223
Metzger Water District
6501 SW Taylors, Ferry Rd.
Tigard, OR 97223'
AtF'ECTRD JURISDIC`EXOA
' lash. Co. Land 1:7 ie & Trani*.
150 N. First Ave.
Millsboro, OR 97124
Brent Curtis
fcevin Martin
,d..� �.._. -. Joann ltiche
Scott 1(ii g
Fre d Eberl®
�
.- Mike Bort`rescn
,. ... ...+
Jim Hefdryx
City of f Beaverton
PO Bo* 1755
Beereleton, OR 97076
Slwate Highway Di vision
Lie Gunderson
PO But. 565
Beaverton, OR 97075
boo*
w• w s e �'i + e e w a•• i• e i'� • w,� •+ �'i +' +'
SPECIAL ?A.,, EN XES
G eneral Telephone
Mike Lutz
12460 sW Main St.
Eeavertfl, OR 97007
NW Natural Gas
Ronald D. Polv►i, PIMP, PLS
220 NW Second Ave.
Portlai U, OR 97209
TGI Cable risiOn o
3500 SW Bond
Portland, O 97201
Parka .&
P ice
Other
1
creation
r ..
School Diet. prr. reavri;
boy Pahl
f Y:.
PO Box 200
,, eawerton,.. OFt:: `97075 �,
',. -School ' District 2347 tTJ g )
13137 SW Pacific Hwy.
Tigard, ' OR ' 97223
Boundary cor iaeion .
„320 SW Stark 'Room 530
Mj]lab0ro ' OR 97124
2000 :nw.1st 3ve.
Portlai;:d;,, OR 97201-5598
DLCD { CiPA ' s only')
1176 Cowart tit. N8.
Salem, OR.. 97310 -0690
other,
• S . L:.w r.. •'• s,:. • . W ,e a it d ::b . s . '• Y «M' `•...
Portland General. Bltric
Brian Moore
X4655 ,SW Old Scholia Ferx`y
Feaysrtoyn, OR 97007
Metro ' AreA,. Communications
alarlan�R
Ti Ln Oa , T, ,jhno'i cgY Center
1815 ' .NW `;l4 9tttt P1aace B -6020
Beavert06 R ` 700.4885
US' %lest
'etO ° Nelnon
421 SW Oaak St i
Portlana t?R'; 97204,`
- J
Inc., Mike Halloo ".
z7
FEDERi . AGENCIES
Engineera
Poet i:.ftc3.cei
Southern .Pat Lf fie Tran®portatiOn' ectapany
Duane Mr Foiv y• ?LS - Pao jest ;c girieer
SOO NW 6th A'ventue, ttia.. 324, Union Station
Portland, ,.OR' ` 97209
1
a.{OT.DNSi.
C11NC,Si.L1D TAR LOTS
E J, Y00se01,t!00,t4Qh
1100'. 1100.1001.!001,
FOUR;; ASSESSMENT ,PURPOSES ONLY
,4 .e6 DO NOT RELY ON FOR ANY OTHER USE
SEE MAP_
2$ 1 2CA
al %rid
a°
fit At.
1114
\ 1
`` ` J
2707
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44A i‘
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•
2715,
\ ., . err 01. 0.
H A\ ,6F
s 2706
Al*.
2709
2702 •
.�4Ac. 4
4, r \ `
46 V
r4 �'• 2000
81AA,
NOO IS 100 y
1 1100 X000
?4Ae., ■ • ..09110
1
1
a _T °1 "EDGEW Cit.SOT'
11GM 00.0 !11.1 f100.g1 R
2001 r 2100 1 2200 2300
•GO Ile 7AAe, 1' LIIAc+ 443Ac:
2374 r
1
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2601 26C?
2
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2607 , a, • I"& LV'rrw O t c >Aa!*
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c 01.01, 44,4r 11.40 est w1
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721.10
H
LU
CITY OF TIGARD, OfiEGON
,PARTITION APPLICATIO
CITY OF TIGARD, 13125 SW. Hall, PO Box 23397
Tigard, Oregon 97223 - (503) 639 -4171
1. GENEF AL INFORMATION
PROPERTY ADDRESS /LOCATIONNi', ly2.� .rL„T..
TAX MAP AVD TAX LOT
SITE SIZE Z..5113 '_
PROPERTY OWNER /DEED HOLDER *r %ar► .S' ° : /t
ADDRESS 6 J%/ �r /= PHONE 42,o e (
CITY rwfirea4
APPLICANT*
ZIP f'' z. 2E 1
ADDRESS ("0 Z / PHONE 6.2 6
CITY , cs`rahr ZIP 97Z ,z2
*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 with written
authorizati'in. The owner(s) must sign this
Application. in the space provided on page two or
submit a wtitten authorization with elia' applicat; on
2. PROPOSAL _ SUMMARY
The owners of record of the subject property
.request p ? . c
ermi�as:�on, to divide
otal area
containing 74'0,V
into F.
(No. of pa1
and "� ��' �or
square
ar
e.
feet each).
'!
0519P/13P
Rev'd : 3/88
FOR STAFF USE ONLY
CASE NO.
OTHER CASE NO S t -242/213
RECEIPT NO. 7
APPLICATION ACCEPTED BY
DATE:
Application elements scbmitted
/w,(A) Application for (1)
{ (B) Owner's si gn ature /wr
it ten
authorization
Title transfer
instrument Cu )
(D) Assessor's map I;1)
tE Plot plan (pre -app zheck list)
A, i - = a-- &WtefkeuL°
(pre -app` check list)
O
(��)«.Iifit....of-11= 4;3i-- ewitumgrand
�a ,e ;MILM1 0i'11 2 a)
) Filing fee (235,
DATE DETERMINED TO BE.COMPLETE
FINAL DECISION DEADLINE:
C MP. PLAN /ZONE DESYGNATION
N.P O. uri er:
Planning Director Ato.strovo..1 !
Ftt.a,'L App=s iva'i Date:
Plannin
Engineering
Recordation Date and Number
List any variance, conditional uses.' other land' "use actions ;�
as part af this application
: "Io have .a eorglPlete appl .catio'i yor will 'seed to submit 'atta haents
dee ?gibed in the 'attach id information 'sheet . s.t ",the time you submit this' `
application.'
'HE APPLICANT(S), SHALL CERTIFY TEAT
.The abbove re ueet does not 'vioa ;ate any deed 'restrictions
,:at'tachedl to oL i1posed iappn the su ►lect , propert
+ ".'VIf the application 4s granted, the applicant will exercise the rights
f' $N ,-' _ d sub jecl to -. all. the conditions and
� �nt�d in' acc orc�ance with the corms an
. taitat� ons o1 the approval.
Ali of the above t , inn the plot plan,
� statements and the. �s ateme!�.�,
attachments, and exhibits transmitted herewith,
are true; and the
'.applicants • so acknowledge that any permit issued, based ' on this
application may be revoked if a —is found that any such statements are
false.
'the applicant has read the entire 'contents 'of ,the application including
the policies and criteria and unai rstends % the ` requtrements for approving
or denying the application♦
SIGNATURES each owner (eg. husband and wife) of the subject ptoparty.
(lt►SL: pm /0737P).