Form 150-310-106 - Application For Special Assessment Of Open Space Land printable pdf download

APPLICATION FOR SPECIAL ASSESSMENT

ASSESSOR’S USE ONLY

OF OPEN SPACE LAND

Date Received

As provided by ORS 30A.303 to 308A.330

Granting Authority

Approved

Denied

J.V. No.

INSTRUCTIONS

County

In full

1. File with county assessor during the calendar year preceding the first assessment

City of _________________

In part

year that you requested open space designation.

2. File white, canary, and pink copies with the county assessor of your county.

3. Keep goldenrod copy for your records.

Filed with the _______________________________________ County Assessor for the assessment beginning July 1, 20_____.

Applicant's name

Telephone Number

(

)

Address

State

ZIP Code

City

I apply for special assessment of the property described below as “Open Space Land” as provided by ORS 308A.303 to 308A.330. My interest in the

property is by:

Fee simple ownership

Contract purchase

Other fee interest (explain) ___________________________________________

PROPERTY DESCRIPTION

Assessor’s account number(s) (as shown on your tax notices) (if more space is needed, attach additional sheets)

Date recorded

Recorded in volume and page or instrument no.

Deed

Contract

Lot

Block

Addition

Subsection

Section

Township

Range

Acres

The physical characteristics

(size, topography, access,

etc.) of the land and its

relationship to surrounding

properties for which

classification is requested

are as follows:

Use No. 1

The current open space

use(s) of the land are:

(Whenever any use

Use No. 2

does not relate to all

the property described,

Use No. 3

indicate the portion of

the property to which the

Use No. 4

particular use applies.)

Use No. 5

USE NUMBER

I hereby designate [by checking the appropriate box(es)] the paragraph(s) listed in which each such use fall:

1 2 3 4 5

1) Land area designated as open space land by an official comprehensive land use plan adopted by any city or county.

2) Land area the preservation of which in its present use would:

a) Conserve or enhance natural or scenic resources;

b) Protect air or streams or water supply;

c) Promote conservation of soils, wetlands, beaches, or tidal marshes;

d) Conserve landscaped areas, i.e., public or private golf courses, which reduce air pollution and enhance the value of abutting or neighboring property;

e) Enhance the value to the public or abutting or neighboring parks, forests, wildlife preserves, nature reservations or sanctuaries or other open space;

f) Enhance recreation opportunities;

g) Preserve historic sites;

h) Promote orderly urban or suburban development; or

i) Retain in their natural state tracts of land, on such conditions as reasonably required by the legislative body granting the open space classification.

DECLARATION

I declare under the penalties for false swearing as contained in ORS 305.990(4) that I have examined this document and to the best of my

knowledge it is true, correct, and complete.

Signature

Date

COUNTY FORM 150-310-106 (Rev. 5-00)

Distribution: White—County Assessor; Canary—Governing Body Planning Commission; Pink—Granting Authority; Goldenrod—Applicant