ADJUSTMENT REVIEW <br />Please complete the following application checklist. Note that additional information may be required upon further review in order <br />to adequately address the applicable criteria for approval. If you have any questions about filling out this application, please contact <br />th <br /> Avenue, Eugene. <br />Planning staff at the Permit and Information Center, phone (541) 682-5377, 99 West 10 <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 Tax Lot Existing Zoning <br />Code Sections Proposed for Adjustment Review <br />List specific code sections for which adjustment review is proposed. <br />Check if the Adjustment Review is for any of the following: <br /> Large commercial facility <br /> Large multi-tenant commercial facility, or <br /> Multiple-family housing <br />Does adjustment request affect at least 2 of the following: Yes No <br />(If yes, this application will be processed as a major adjustment review.) <br />(a)Maximum front yard setbacks <br />(b)Building orientation, <br />(c)Building entrances <br />(d)On-site pedestrian circulation, <br />(e)Block requirements or street layout: <br />Does adjustment request include stormwater drainage facilities: Yes 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 /> No <br />If yes, submit an Alternative Traffic Safety Study (ATSS). <br />Associated pending Land Use Application or Building Permit numbers: <br />www.eugene-or.gov/planning <br />Planning & Development Updated: March 2014 <br />Planning Division <br />TH <br />99 W. 10 Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail:eugeneplanning@ci.eugene.or.us Page 1 of 3 <br />