NOISE VARIANCE APPLICATION Pace 2 of 2 <br />By signing, the undersigned certifies that he/she has read and understood the submittal <br />requirements outlined, and that he/she understands that omission of any listed item may <br />cause delay in processing the application. I (We), the undersigned, acknowledge that the <br />information supplied in this application is complete and accurate to the best of my (our) <br />knowledge. <br />OWNER (Also the Applicant? I Yes / L No): <br />Name (print): PHIT LLC. Phone: (541) 302-0300 <br />Address: 1720 E. 13th Ave. <br />City/State/Zip: Eugene OR 97204 <br />APPLICANTL / APPLICANT'S REPRESENTATIVE Ll (Check one) <br />Name (print): Ethan WOlery <br />Company/Organization: Hoffman Construction Company <br />Address: 805 SW Braodway Suite 2100 <br />City/State/Zip: Portland, OR E-mail (if applicable):ethan-wolery@hoffmancorp.com <br />97205 <br />Phone: 503-221-8811 Fax. nvA <br />❑ / DESIGNATED CONTACT[ . 1 (Check all that apply): <br />Name (print): <br />Company/Organization: <br />Address: <br />City/State/Zip: E-mail (if applicable): <br />Phone: Fax: <br />Note: This is not a complete list of requirements. Additional information maybe <br />required after further review in order to adequately address the applicable <br />approval criteria. <br />www eunene-or qov/1 <br />Planning & Development 99 W. Mul Avenue; Eugene, OR 97401 <br />Building Permit Services P 541.682.5086' F 541.685.6806 <br />