❑ Submit a copy of all recorded easements, including the legal description, for each easement or right-of-way to <br />be vacated. <br />❑ If any parcel or lot was created through a previous land use application, provide evidence that the proposed <br />vacation will be consistent with the original conditions of approval. <br />❑ For public utility easement vacations, provide written statements of concurrence for the proposed vacation <br />from affected utility providers. <br />❑ For any vacation request under the Type I or II process, provide signatures of all owners of property subject to <br />the easement and the owners of abutting properties. For vacations of right-of-way or public ways, consent of <br />surrounding property owners shall be provided, as required by Oregon Revised Statute (ORS) section 271.080. <br />Forms are available from the Planning Department or online at: www.eugeneplanning.org <br />By signing, the undersigned certifies that he/she has read and understood the submittal requirements outlined, <br />and that he/she understands that omission of any listed item may cause delay in processing the application. I <br />(We), the undersigned, acknowledge that the information supplied in this application is complete and accurate <br />to the best of my (our) knowledge. <br />OWNER (Also the Applicant Yes / Q No): <br />Name (print): 'tkz(A ~ cG 104WL Phone: 50 ST( <br />Address: 3q 2 % '6 oc'J I_ o') 5 <br />City/State/Zip: 5,,a LkL 64L <br />Signature: <br />APPLICANTO / 4KPLICANT'S REPRESENTATIVE ❑ (Check one): <br />Name (print): Elliott <br />Company/Organization: Neighborly Ventures, Inc <br />Address: 2925 River Road S <br />City/State/Zip: Salem, OR 97302 E-mail (if applicable): elllottpr@theneighborlyway.com <br />Phone: 503-373-312 Fax: <br />Signature: <br />NOTE: This is ri& a complete list of requirements. Additional information may be required after further review in <br />order to adequately address the required criteria of approval. <br />www. euoene-or. no v/vluma fntl <br />Planning & Development Updated: March 2014 <br />Planning Division <br />99 W. 10TH Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: plannlng@ci.eugene.or.us Page 3 of 3 <br />