Map Information <br />❑ A map indicating the property involved in the request and showing adjacent streets, alleys, etc. <br />❑ A vicinity map showing the general area of the request and indicating the specific property involved in the <br />request. <br />Legal Description <br />❑ A legal description for each existing lot involved in the requested change. This description must be typed and <br />suitable for recording. <br />By signing, the undersigned certifies that he/she has read and understood the submittal requirements outlined, and <br />that he/she understands that omission of any listed item may cause delay in processing the application. I (We), the <br />undersigned, acknowledge that the information supplied in this application is complete and accurate to the best of <br />my (our) knowledge. <br />OWNER (Also the Applicant? ❑ Yes //No): <br />Name (print): Claire Senderling Phone: 541-686-5850 <br />Address: 2653 Sharon Way <br />City/State/Zip: E ene, OR 97401 <br />Signature: <br />APPLICANT❑ / APPLICANT'S REPRESENTATIVE (Check one): <br />Name (print): Ryan P. Murray <br />Company/Organization: LEI Engineering and Surveying of Oregon, LLC <br />Address: 2564 19th St SE, Salem, OR 97302 <br />City/State/Zip: E-mail (if applicable): rmurray@leiengineering.com <br />Phone: 503-399-3828 Fax: <br />Signature:../ <br />NOTE: This is-noea 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. eu4ene-orgov/planning <br />Planning & Development Updated: December 2018 <br />Planning Division <br />99 W. 10TH Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planning@ci.eugene.or.us Page 2 of 2 <br />