January 2019
CHECKLIST FOR CLAIM FOR COMPENSATION
This checklist has been prepared to assist Claimants in submitting an Claim that includes all the submission
requirements in SMC Section 3.10.030.2. Please note that this checklist may paraphrase the requirements from the
Code. It is the Claimant’s responsibility to read and understand the requirements of the Code. Review of a Claim will
not begin until a complete request for a Claim has been submitted.
□ Identification of Ownership: Provide the names and contact information for all individuals or entities
with any interest in the property. This shall include the owner, all lien holders, trustees, renters, lessees
or easement holders, with a description of the ownership interest of each party.
□ The address, tax lot, and legal description of the real property that is the subject of the claim
□ A copy of the instrument conveying the property to the claimant
□ A title report issued by a title company no more than 30 days prior to the submission of the claim that
reflects the ownership interest in the property, or other documentation reflecting sole ownership of the
property by the claimant, and the date the property was acquired by the present owner.
□ The specific current land use regulation(s) enacted after January 1, 2007, cited by reference to the
Stayton Municipal Code number, that Claimant alleges restricts the use of the real property and allegedly
causes a reduction in the fair market value of the subject property.
□ The amount of reduction in fair market value alleged for each regulation at issue plus interest.
□ An appraisal providing the fair market value of the property one year before the enactment of each land
use regulation and the fair market value of the property one year after the enactment.
□ Copies of any leases or Covenants, Conditions and Restrictions (CCRs) applicable to the real property, if
any, that impose restrictions on the use of the property, or which would affect its valuation.
□ Identification of the particular use that is proposed for the real property and proof that the requested
use was allowed as proposed at the time the owner acquired the real property.
□ Whether a previous permit was issued for development of the property including a description of the
use and case file number.
□ Whether a claim was filed for the subject property with the state or any other government.
□ A statement that any and all claims under this Chapter are included in this claim, or that if overlapping
claims for the same property with other governmental entities (such as the state) exist, that they are
being filed with the appropriate entity contemporaneously with the claim filed with the City.
□ Evidence the City has enforced current land use regulations against claimant’s real property in such a
way as to restrict the use of that real property with the effect of reducing the fair market value of that
real property.
□ A list of names of property owners, certified by either a title company or the Marion County Assessor, for
all current owners of record of all properties that lie within 300 feet of the perimeter boundary of the
real property subject to the claim. Two copies of the list prepared on mailing labels shall be submitted.
□ A narrative statement that provides information about the history of the property and its ownership as
well as explanation and justification for why the claim is valid, and stating precisely what remedy is being
requested from the City.
□ A list of any and all overlay or special Ordinances that apply to the subject property, as well as any
special designations that may apply to the subject property.
□ Copies of any prior land use decisions or land use or building permits issued for or relating to the subject
property.
Submittal of all materials in an electronic format is encouraged.