A. <br />WPIanning <br />0 <br />ADASTMENT REVIEW <br />Please complete the following application checklist. Note that addit onal information Fnd HEF uired upo further review in order <br />to adequately address the applicable criteria for approval. If you ha rs e► plication, please contact <br />Planning staff at the Permit and Information Center, phone (541) 682-5377, 99 West 10`h Avenue, Eugene. <br />List all,Assessor's'Map and Tax Lot numbers of the property included in the request. Proposals are <br />required to include all property under contiguous ownership of the applicant. <br />Assessor's Map <br />Tax Lot <br />Existing Zoning <br />17-04-25-12 <br />01000 <br />R-2 <br />Code-Sections Proposed for Adjustment Review <br />List specific code sections for which adjustment review is proposed. <br />EC 9.4290(3) <br />EC 9.5500 (11) (b) 2. <br />EC 9.6105 (2) (b) 2 <br />EC 9.5500(4)(b) <br />EC 9.5500 (12) (b) 1. <br />EC 9.5500(6)(a) <br />EC 9.5500 (12) (c) <br />Check if the Adjustment Review is for any of the following: <br />❑ Large commercial facility <br />❑ Large multi-tenant commercial facility, or <br />❑x Multiple-family housing <br />Does adjustment request affect at least 2 of the following: ❑ Yes ❑ No <br />(If yes, this application will be rocessed asp major adjustment review.) <br />a) Maximum front yard setbacks <br />N/A (b) Bui ing orientation, <br />N/A (c) Building entrances <br />N/A (d) On-site pedestrian circulation, <br />N/A (e) Block requirements or street layout: <br />Does adjustment request include stormwater drainage facilities: ❑ Yes ❑x No <br />(If request includes Pollution Reduction/Flow Control, submit approved alternative design. If request includes Source Control, submit <br />DAR form.) <br />Does request include an adjustment of internal vehicle stacking at Eugene Code Section 9.6703(3)(a): ❑ Yes <br />❑X No <br />If yes, submit an Alternative Traffic Safety Study (ATSS). <br />Associated pending Land Use Application or Building Permit numbers: <br />w ww. euaene-or. aov/nlannin <br />Planning & Development Updated: March 2614 <br />Planning Division <br />99 W. 10TH Avenue, Eugene, OR 97401 <br />RECEI'E® <br />APR - 6 2018 <br />Phone: 541.682.5377 or E-mail:eugeneplanning@ci.eugene.or.us Page 1 of 3 <br />