Pa <br />g <br />one eareysu~e eness V ° e`' Forma <br />Plannan Department <br />Application Pile Name <br />Rest Haven Z 15-1 <br />mate: <br />February 13, 2015 <br />Applicant's Nerve: <br />Charles Wiper, Inc. <br />Zoning: <br />PL <br />Representative's Name: <br />Carol Schirmer <br />Map/Lat(s) <br />18-03-18-00 Tax Lot 00300 <br />18-03-07-43 Tax Lot 02100 <br />Reviewed by: <br />Gabe Flock <br />Phone: 541-682-5697 j <br />E-mail: <br />gabriel.]lock@ci.eugene.or.us <br />General <br />Comments: <br />Written Statement <br />Submitted <br />Missing i <br />Incomplete <br />❑ <br />❑ <br />❑ <br />❑ <br />1. Provided a written statement demonstrating how the requested change <br />satisfies the criteria in Eugene Code Section 9.8865. <br />i <br />❑ <br />❑ <br />® <br />❑ <br />2. Provided a written statement and other evidence, if necessary, <br />demonstrating how the requested change satisfies the applicable <br />provisions of OAR 660-012-0060 (the Transportation Planning Rule). <br />Comments: <br />See attached cover letter <br />Legal Description <br />Submitted <br />Missing <br />Incomplete <br />N/A <br />® <br />❑ <br />❑ <br />❑ <br />3. Provided a legal description for each existing lot involved in the <br />requested change. (These descriptions must be typed on an 8-1/2 x 11" <br />white sheet of paper (no letterhead) so that it is suitable for recording.) <br />Comments <br />Map Information <br />Submitted <br />Missing <br />Incomplete <br />N/A <br />® <br />❑ <br />❑ <br />❑ <br />4. Provided a map indicating the property involved in the request and <br />showing adjacent streets, alleys etc. <br />® <br />❑ <br />❑ <br />❑ <br />5. Provided a vicinity map showing the general area of the request and <br />indicating the specific property involved in the request. <br />Comments <br />7one Change Cmmnleieness Review Fnrm DaaP 1 of 1 <br />