F-008 DSL Wetland Land Use Notice Wetland Land Use Notification
OREGON DEPARTMENT OF STATE LANDS
775 Summer Street NE, Suite 100, Salem,OR 97301-1279
Phone: (503)986-5200
This form is to be completed by planning department staff for mapped wetlands and waterways.
Required Field (?)Tool Tips
Responsible Jurisdiction A
* Municipality* Date*
City of County of Lake Oswego 6/23/2023
Staff Contact
First Name* Last Name*
Cristina Siquina Calderon
Phone*(') Email*
503-635-0296 csiquina@ci.oswego.or.us
Applicant
First Name* Last Name*
John Gliebe
Applicant Organization Name
(if applicable)
New Look Development
Mailing Address*
Street Address
7685 SW Cirrus Dr#32F
Address Line 2
City State
Beaverton OR
Postal/Zip Code Country
97008 United States
Phone(?) Email(?)
971-678-8000 john@newlookdev.com
Is the Property Owner name and address the same as the Applicant?*
No Yes
Property Owner A
First Name* Last Name*
Danelle Isenhart
Property Owner Organization Name
(if applicable)
Emerio Design
Mailing Address(If different than Applicant Address)
Street Address
6445 SW Fallbrook PI Ste 100
Address Line 2
City State
Beaverton OR
Postal/Zip Code Country
97008 United States
Phone(?) Email(?)
503-880-4979 danelle@emeriodesign.com
Activity Location
......................................................................................................................................................................................................................................................................................................................................................................................................
Township*(?) Range*(?) Section*(?)
02S 01E 07
Quarter-quarter Section(?) Tax Lot(s)*
CA 100,2902,3000
You can enter multiple tax lot numbers within this field.i.e.100,200,300,
etc.
To add additional tax map and lot information, please click the"add"button below.
Address
Street Address
Vacant lots N&E of 15868 Kimball St
Address Line 2
City State
Lake Oswego OR
Postal/Zip Code Country
97035 United States
County* Adjacent Waterbody
Clackamas Carter Cr,Lk Oswego
Proposed Activity
Prior to submitting,please ensure proposed activity will involve physical alterations to the land and/or new construction or expansion of footprint of existing
structures.
Local Case File#*(?) Zoning
LU 23-0002 R-7.5
Proposed
Building Permit(new structures) Conditional use Permit
Grading Permit Planned Unit Development
Site Plan Approval Subdivision
Other(please describe)
2 lot confirmations,4 serial lot line
adjustments and an unavoidable RP
crossing for the new sanitary main
extension
Applicant's Project Description and Planner's Comments:*
RP District(wetland)delineation, Unavoidable RP Crossing, and Serial Lot Line
Adjustments
Required attachments with site marked:Tax map and legible,scaled site plan map.(?)
Applicant's Statement of Completeness.pdf 734.81KB
Exhibit 2-Narrative 6-22-23.pdf 642.38KB
Exhibit 4-Landscape Plan-2023-06-20.pdf 559.55KB
Exhibit 4-PLA 1.pdf 143.39KB
Exhibit 4-PLA 2.pdf 151.16KB
Exhibit 4-PLA 3.pdf 151.25KB
Exhibit 4-PLA 4.pdf 151.98KB
Exhibit 4-Site Plan-2023-06-20.pdf 441.61KB
Exhibit 4-Tree Plan-2023-06-19.pdf 502.25KB
Exhibit 4-Utility Plan-2023-06-19.pdf 538.16KB
Exhibit 8-0980-001 Baleine Sewer Ext(4).pdf 11.27MB
Exhibit 12-Tree Protection Plan revised.pdf 3.39MB
Exhibit 13-Water service provider letter Kimball 5 8 23.pdf 191.71KB
Exhibit 14-Baleine St Sensitive Lands rpt 6 21 23.pdf 1.96MB
Incomplete Itr response.pdf 662.08KB
List of Exhibits Rev1.pdf 508.87KB
Required attachments with site marked:Tax map and legible,scaled site plan map.(?)
Additional Attachments
Date
6/23/2023