property owners is provided, as required by Oregon Revised Statute <br />(ORS) section 271.080. <br />14) The Henderson property on Alameda is actually two parcels. Please have Mr. Henderson sign an <br />Comments: <br />additional consent form for map/tax lot 17-04-01-34-01100. This is the portion of the property directly <br />north of and abutting your property. <br />For Staff Use Only - Referral Information <br />Yes <br />No <br />❑ <br />® <br />1. Route land use referral to Privately Engineering Public Improvement (PEPI). <br />❑ <br />® <br />2. Route land use referral to Public Works Maintenance. <br />® <br />❑ <br />3. Is the right-of-way county maintained? If yes, route land use referral to Lane County <br />Transportation and Lane County Road Maintenance Planning. <br />❑ <br />® <br />4. Route land use referral to Parks Planning <br />❑ <br />® <br />5. Route to Bonneville Power Administration (if site includes a BPA easement) <br />6. Other: <br />Vacation Completeness Review Form Page 2 of 2 <br />