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Document Woodburn_doc_4dfdc80440

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Date: Permit Number(s): Applicant Phone Number: Valuation: SUBMITTAL FORM for New Applications, Addendums, Responses, Deferred Submittals Project Name: Project Address: Applicant Name: Applicant E-Mail: 1. For a new permit application? 2. A deferred submittal for an existing permit? 3. For corrections to a permit currently under review? 4. An addendum for an issued permit? 5. For Planning, with new site plan, landscape or elevation plans? 6. For Engineering, with new public utility or erosion control plans? Yes No Yes No Yes No Yes No City of Woodburn Building Division 270 Montgomery St Woodburn, OR 97071 [PHONE REDACTED] [EMAIL REDACTED] Yes Yes No No Is the submittal: Description of Submittal: SECTION TO BE COMPLETED FOR CORRECTIONS or ADDENDUMS PLEASE DESCRIBE THE SUBMITTED PLAN CHANGES BELOW: Or add an attachment with a complete description. Use additional pages as necessary. Please use the comment numbering sequence outlined in the plan review letter if responding to a plan review. Sheet No. Sheet No. Sheet No. Sheet No. Sheet No.