ANNEXATION <br />r Planning ; CT <br />Please complete the following application checklist Nate that additional infurnlation inavbe'iequired upon furl-lief <br />revew in order to adequately address the applicable criteria for approval. if you have any questions about filing out this <br />application, please contact Planning staff at the Permit and Information Center, phone (591)687-5377, 99 West 10"' <br />4venue, Eugene. <br />List all Assessor's Map and Tax Lo: numbers of the property included in the request. <br />Assessor's Map <br />Tax Lot Zoning <br />Acreage <br />li-1)+-119-2 <br />SQ- ACr lUL <br />1.65 <br />i <br />1 <br />I <br />~ I <br />i <br />Property Address: No, address. Eugene, UR. North of E 30th Ave east cl Laurehvood Goli Course. <br />Plans for Future Development & Permit Number (if applicable): <br />Public Service Districts: <br />Name <br />Parks: <br />City of Eugene <br />Electric: <br />E:ytrP,TV <br />Water: <br />EvvtB <br />Sanitary Sewer <br />Cit7 of Eugene <br />Fire: <br />Tugene Fire and 17,N45 <br />Schools: <br />Elementary: Edison Middle: Roosevell I High: South Eugene. <br />Other: <br />Filing Fee <br />0 A filing fee must accompany all applications. he fee varies depending upon the type of application and is adjusted <br />periodically by the City Manager. Check with planning staff at the Permit and Information Center to civermine the <br />required fee or check website at :vsva,.eee.Cne plannin.e,,nrg <br />Written Statement [Submit 5 copies) <br />0 Submit.) detailed written statement describing how thin request i5 consistent with all applicable criteria (Section <br />9.7825 of the Eugene Coda). <br />Planning&Development Updated: March '.014 <br />Planning Division <br />99 N 10" Avenue. Eu3ene, OR 97401 <br />Phwre: 5A 1.542.5 1!7 cr Email:zvgeneplanning~~?'<i.euger zxr.u•. pagr I old <br />