YSubmit a copy of all recorded easements, including the legal description, for each easement or right-of-way to <br />be vacated. <br />N/A❑ 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 />Provide written statements of concurrence for the proposed vacation from affected utility providers. <br />VFor 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? Vyes / ❑ No): <br />The Urban Renewal Agency of the City of Eugene (641) 682-5086 <br />Name (print): Phone: <br />Address: Atrium Building, 99 West 10th Avenue <br />city/state/zip: Eugene, OR 97401 <br />Signature: a,,-'1F V DD <br />APPLICANT❑ / APPLICANT'S REPRESENTATIVE V(Check one): <br />Name (print): Rex A. Betz, PLS <br />Company/Organization: <br />Address: 2585B Prairie Road <br />Eugene, OR 97402 rbetz@egrassoc.com <br />City/State/Zip: E-mail (if applicable): <br />Phone: (541) 688-5322 Fax: (541) 688-8087 <br />Signature: <br />NOTE: This is not a complete' ' of requirements. Additional information may be required after further review in <br />order to adequately address the required criteria of approval. <br />wwvv. eugen e-or. go v/planninn <br />Planning & Development updated: March 2014 <br />Planning Division <br />99 w. 10T" Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planning@d.eugene.or.us Page 3 of 3 <br />