❑ 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 11 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? D Yes / ❑ No): <br />Name (print): utv-Zo L- aF E~ >C Phone: So 3 J Ca J I. <br />t <br />Address: .~LI Z i 13,j, j, Q,~j f~ <br />19L R~3(*- <br />Signature: <br />APPLICANT[ / ~ APLICANT'S REPRESENTATIVE ❑ (Check one): <br />Name (print): Elliott Pelfrey <br />Company/Organization: Neighborly Ventures, Inc <br />Address: 2925 River Road S <br />City/State/Zip: Salem, OR 97302 E-mail (if applicable): elliottp@theneighborlyway.com <br />Phone: 503-373-312 Fax: <br />Signature: f~f <br />NOTE: This is nSt a c6implete list of requirements. Additional Information may be required after further review in <br />order to adequately address the required criteria of approval. <br />2vww.e11ggne•or.g0v plonr:10 <br />Planning & Development Updated: March 2014 <br />Planning Division <br />99 W. 107H Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planning@cl.eugene.or.us Page 3 of 3 <br />