APPLICATION FOR SPECIAL ASSESSMENT
ASSESSOR’S USE ONLY
OF OPEN SPACE LAND
As provided by ORS 30A.303 to 308A.330
1. File with county assessor during the calendar year preceding the first assessment
City of _________________
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_____.
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
Other fee interest (explain) ___________________________________________
Assessor’s account number(s) (as shown on your tax notices) (if more space is needed, attach additional sheets)
Recorded in volume and page or instrument no.
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
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.
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.
COUNTY FORM 150-310-106 (Rev. 5-00)
Distribution: White—County Assessor; Canary—Governing Body Planning Commission; Pink—Granting Authority; Goldenrod—Applicant