RECEIVED <br />M AY - 7 2018 <br />A k 1 d <br />CITY OF EUGENE <br />PLANNING DIVISION <br />c now a gment <br />I (we), the undersigned, hereby acknowledge that I (we) have read the above appeal form, understand the requirements for filing an <br />appeal of a hearings official or historic review board decision, and state that the information supplied is as complete and detailed as <br />is currently possible, to the best of my (our) knowledge. <br />APPELLANT: <br />Name (print): Tom & Cynthia Dreyer Phone: c/o Bill Kloos 541-954-1260 <br />Company/Organization: Owners <br />Address: 2955 Capital Drive <br />APPELLANT'S REPRESENTATIVE: <br />Name (print): Bill Kloos <br />Company/Organization: Law Office of Bill Kloos PC <br />Address: 375 W. 4th Ave., Suite 204 <br />City/state/zip: Eugene OR 974Mail (if applicable): billkloos@landuseoregon.com <br />Phone: 541-954-1260 Fax: <br />Signature: <br />IF this apy(eal is being filed by the affected recognized neighborhood association, complete the following: <br />Name of Association: <br />www. e ugene-or.gou/planning <br />Planning & Development Updated: October, 2012 <br />Planning Division <br />99 W. 10TH Avenue, Eugene, OR 97401 <br />P 541.682.5377 * F 541.685.5572 Page 2 of 2 <br />