PH-1 <br />Planning & Development <br />Planning <br />a 5 <br />u1 i i I~~ <br />City of Eugene <br />99 West 10th Avenue <br />WILLAMETTE GREENWAY PERMIT' Eugene, Oregon 97401 <br />i'(541) 682-5377 <br />APPLICATION (541) 682-5572 Fax <br />www.eugene-or.gov <br />Please complete the following application checklist. Note that additional information maybe required after further <br />review in order to adequately address the applicable approval criteria. If you have any questions about completing <br />this application, please contact Planning staff at the Permit and Information Center, phone (541) 682-5377, 99 West <br />10th Avenue, Eugene. <br />List all Assessor's Map and Tax Lot numbers of the property included in the request. Please indicate if only a <br />portion of a lot is included in the request. <br />Assessor's Map <br />Tax Lot <br />Zoning <br />1 -0-A -1A-i3 <br />L.Ote +0o <br />(Z-( <br />1 0 4- Zq - 2.4 <br />Lot 5 5 00 <br />1 <br />Site address(es): 0 fi ye- 1 c A-9-GQ . <br />Area of Request (square feet/acres): A p D rO X, Z. Z g T A C <br />Existing Use of Property: O m& <br />~0W <br />Proposed Useof Property: 04L V_ Le li~A (V1PA,Aow CD k OV r tK q <br />Adjustment Requested? ❑Yes Po <br />Specify type of adjustment being requested: <br />Pre-application Conference (as required per EC 9.7005): <br />Date: De c. 2"d Z 01f <br />Filing Fe <br />Conference No. L C- U G <br />A filing fee must accompany all applications. The fee varies depending upon the type of application and is <br />adjusted periodically'by the City Manager. Check with Planning staff at the Permit and Information Center to <br />determine the required fee or check the City website at www.eugene[)Ianning.org <br />Willamette Greenway Permit Application Form <br />Updated: 7/2011 <br />Page 1 of 5 <br />1490 <br />