Legal Description <br />Submitted <br />Missing <br />Incomplete <br />N/A <br />® <br />❑ <br />❑ <br />❑ <br />3. Provided a legal description for each existing lot involved in the <br />requested change. (These descriptions must be typed on an 8-1/2 x 11" <br />white sheet of paper (no letterhead) so that it is suitable for recording.) <br />Comments <br />None. <br />Map Information <br />Submitted <br />Missing <br />Incomplete <br />N/A <br />® <br />❑ <br />❑ <br />❑ <br />4. Provided a map indicating the property involved in the request and <br />showing adjacent streets, alleys etc. <br />❑ <br />® <br />❑ <br />❑ <br />5. Provided a vicinity map showing the general area of the request and <br />indicating the specific property involved in the request. <br />Comments <br />5.a. Please provide a Vic <br />inity Map. <br />For Staff Use Only - Referral Information <br />Yes <br />No <br />❑ <br />® <br />1. Route land use referral to Parks Planning <br />❑ <br />® <br />2. Is the right-of-way county maintained or does the traffic analysis address a street under Lane <br />County jurisdiction? If yes, route land use referral to Lane County Transportation and Lane County <br />Road Maintenance Planning. <br />3. Other: <br />➢ Prep DLCD Notice. <br />➢ DLCD notice must be mailed once the zone change is complete and received by DLCD at least 35 days <br />prior to the public hearing. <br />Zone Change Completeness Review Form Page 2 of 2 <br />