OX A fling fee must accompany all Hearing's Official and Historic-Rdview Board appeals. 'Ihe fee <br />varies depending upon the type of application and is adjusted periodically by the City Manager. <br />Check with Planning staff at the Permit and Information Center lo.'determ ine the required fee or <br />check on the web at, www.eugg eplanning.org <br />Acknowledgment . <br />I (we), the undersigned, hereby aclinowledge that I (we) have read the above appeal form, understand <br />the requirements for filing an appeal of a Hearings Official or Historic Review Board decision, and <br />state that the information supplied is as complete and detailed as is currently possible, to the best of my <br />(our) knowledge. <br />APPELLANT <br />Name (print):Phone: <br />Address: <br />I <br />City/State/Zip:t~-~J <br />APPELLANT <br />Name (print): Phone: <br />Address: 12 ~ -5~ <br />City/State/Zip: z~u <br />Signature: <br />IF this app6al is being filed by the affected recognized neighborhood association, complete the <br />following: <br />Name of Association. River Road Community Organization <br />Appeal of Initial Hearing Official Page 2 of 2 <br />or Historic Review Board Decision <br />319 <br />