14WPlanning <br />Incomplete Land Use Application Form: 180 Day Completeness Review <br />Eugene Planning Division <br />Attn: Jeff Gepper, Senior Planner <br />File No.: Z 22-2 <br />Phone: 541.682.5282 1 Fax: 541.682.5572 1 jgepper@eugene-or.gov <br />99 West 10th Avenue, Eugene, OR 97401 <br />Completeness Review Step (Check ONE box) <br />❑ I intend to submit all of the missing or incomplete materials as identified by the City in <br />completeness review. I understand that according to State law I have up to 180 days <br />from the date the application was submitted to provide the missing or incomplete <br />materials and that after that date, if I have not submitted the missing information, my <br />application will be void. I also hereby agree to allow the City a reasonable period of time <br />for a review and determination of completeness upon submittal of the missing or <br />incomplete materials and the required number of copies. <br />❑ I intend to submit some, but not all, of the missing or incomplete materials as identified <br />by the City in completeness review. I understand that according to State law I have up <br />to 180 days from the date the application was submitted to provide the missing or <br />incomplete materials that I intend to submit and that after that date, if I have not <br />submitted the missing information, my application will be void. I also hereby agree to <br />allow the City a reasonable period of time for a review and determination of <br />completeness, upon submittal of the missing or incomplete materials and the required <br />number of copies. The materials I do not intend to submit are those items I have listed <br />on the lines below (attach additional sheets if necessary). <br />I do not intend to submit any of the missing or incomplete materials as identified by the <br />City in the completeness review. I understand that the City will proceed with review of <br />the application materials previously submitted. I also understand that incomplete <br />applications may not provide adequate evidence to demonstrate compliance with <br />applicable criteria and standards. Please deem my application complete as of the date <br />this form is received by the City of Eugene Planning Division. <br />Printed Name of the Applicant or Applicant's Representative <br />Signature of the Applicant or Applicant's Representative Date <br />City of Eugene • 99 W. 10th Ave. • Eugene, OR 97401 a 541-682-5481 . 541-682-5572 Fax <br />www.eugene-or.gov/planning <br />