Note: This is not a complete list of requirements. Additional information may be required after further review in <br />order to adequately address the applicable approval criteria. By signing, the undersigned certifies that he/she has <br />read and understood the submittal requirements outlined, and that he/she understands that omission of any listed <br />item may cause delay in processing the application. I (We), the undersigned, acknowledge that the information <br />supplied in this application is complete and accurate to the best of my (our) knowledge. <br />OWNER (Also the Applicant? Yes / ❑ No): <br />Eastridge Home Development, LLC <br />Name (print): Michael Loomis Phone: 360-892-0514 <br />Address: 1300 Esther Street, Ste. 200 <br />City/state/zip: Vancouver, WA 98660 <br />Signature: <br />OWNER (Also the Applicant? Yes / ❑ No): <br />Eastridge Home Development, LLC <br />Name (print): Michael Loomis Phone: 360-892-0514 <br />Address: 1300 Esther Street, Ste. 200 <br />City/state/zip: Vancouver, WA 98660 <br />Signature: <br />APPLICANT'S REPRESENTATIVE ❑ ESIGNATED CONTACT PERSON M (Check all that apply): <br />Name (print): Zach PeIZ <br />Company/Organization: AKS Engineering & Forestry, LLC <br />Address: 3700 River Road N, Suite 1 <br />City/State/Zip: Keizer, OR 97303 E-mail (if applicable): peIZZ@aks-eng.com <br />Phone: 503-400-6028 lax: <br />Signature: <br />WWW. euaene-or. goy/planning <br />Planning & Development Updated: October 2019 <br />Planning Division <br />99 W. JOT" Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planning@ci.eugene.or.us Page 3 of 3 <br />