Ak <br />ZONE CHANGE <br />-Planning <br />Please complete the following application checklist. Note that additional information may be required upon further <br />review in order to adequately address the applicable criteria for approval. If you have any questions about filling out <br />this application, please contact Planning staff at the Permit and Information Center, phone (541) 682-5377, 99 West 10t' <br />Avenue, Eugene. <br />List all Assessor's Map and Tax Lot numbers of the property included in the request. Please indicate if only a portion <br />of a lot is included in the request and include any additional map and tax lot numbers for subject property. Also, <br />include existing and proposed overlay zoning. <br />Street Address (if available): 135 Kourt Dr., Eugene, OR CE, <br />Existing Use(s) of the Property: Single Family Residence <br />J!:l~I ^ ~ ~nnn <br />Proposed Use(s) of the Property: Residential Partition <br />Is this zone change being reviewed concurrently with another land use application? <br />❑ Yes, application file number: ®No <br />Filing Fee <br />❑ A filing fee must accompany all applications. The fee varies depending upon the type of application and is <br />adjusted periodically by the City Manager. Check with Planning staff at the Permit and Information Center to <br />determine the required fee or check website www.euRenentanning.org <br />Submittal Requirements <br />Provide 3 paper copies and one CD copy of all application materials (i.e. written statement, site plans, etc.) in pdf format <br />at the time of initial submittal. Please note that it is the applicant's responsibility to make sure that the CD and paper <br />copies are identical. Following completeness review, an updated CD and additional paper copies may be required. All <br />site plans must be folded to a size equal or less than 11" x 17". <br />Written Statement <br />❑ A written statement demonstrating how the requested change satisfies the criteria in the Eugene Code, Section <br />9.8865. A list of the criteria is available at the Eugene Permit and Information Center, 99 West 101h Avenue. <br />Please note; it is the applicant's responsibility to provide adequate information demonstrating how the proposal <br />satisfies the applicable criteria. Failure to provide such information may result in a denial of your application. <br />❑ The written statement and application materials must also demonstrate how the requested change complies with <br />Oregon Administrative Rule (OAR) 660-012-0060 (the Transportation Planning Rule), <br />www.etrgene-or, aov1D1onninq <br />Planning & Development Updated: December 2018 <br />Planning Division <br />99 W. 1OT" Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planning@ci.eugene.or.us page 1 of 2 <br />