tr f ff -I ~ <br />UG Planning & Development <br />Planning <br />PLANNED UNIT DEVELOPMENT <br />APPLICATION TENTATIVE STAGE <br />City of Eugene <br />99 West ldh Avenue <br />Eugene, Oregon 97401 <br />(541) 682-5377 <br />(541) 682-5572 FAX <br />www.eugene-or.gov <br />Please complete the following application checklist. Ndit that additi6i aI information maybe required after further <br />review in order to adequately address the applicable approval criteria. If you have any questions about filling out <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. Proposals are required to <br />include all property under contiguous ownership of the applicant. <br />Assessor's Map <br />Tax Lot <br />Zoning <br />4' - D -Z~ - i3 <br />400 <br />Lq- - 0 - -Z-4 Z 4 <br />s 5 00 <br />--1 <br />Area of Request (square feet/ <br />Existing Use of Property: N ti vt T ~T o pi m e "_S 0 W <br />Proposed Use of Property: C o \,t o v-S L vL C P~ (1(P rA_0,(,t;r, <br />& v V-L I+S, <br />Number of Dwellings: Existing: ~ Proposed: <br />Number of Lots: Existing: 2 Proposed: '2- <br />Planned Unit Development Approval Criteria (check one): <br />General (EC 9.8320) <br />❑ Needed Housing (EC 9.8325) <br />Is site included on City acknowledged Statewide Goal 5 Inventory? <br />❑Yes . ❑No Uncertain <br />Does adjustment request include stormwater drainage facilities: R Yes ❑ No <br />(If request includes Pollution Reduction/Flow Control, submit approved alternative design. <br />If request includes Source Control, submit DAR form.) <br />Pre-application Conference (as required per EC 9.7005): <br />Date: Der- 2"~ 2 I Conference No.: <br />Tentative Planned Unit Development Updated: 7/2011 Page 1 of 7 <br />Application Form <br />1502 <br />