Atrium Building <br /> <br />99 West10Avenue <br />th <br /> <br />Eugene, Oregon 97401 <br /> <br />Phone: 541-682-5377 <br />Fax: 541-682-5572 <br /> <br />www.eugene-or.gov/planning <br /> <br /> <br /> <br />IncompleteLand Use Application Form– <br /> <br />180 Day Completeness Review Process <br /> <br />Please Complete and Return to: <br />Eugene Planning Division <br />Attn: Nicholas Gioello <br />File #: Eugene 4J (Z 22-11) <br />th <br />99 West 10Avenue <br />Eugene, OR 97401 <br />TELE –(541) 682-5453 <br />FAX-(541) 682-5572 <br /> <br />Completeness Review Step (Check ONE box) <br /> <br /> <br />I intend to submit all of the missing or incomplete materials as identified by the City in completeness <br />review. I understand that according to State law I have up to 180 days from the date the application <br />was submitted to provide the missing or incomplete materials and that after that date, if I have not <br />submitted the missing information, my application will be void. I also hereby agree to allow the City a <br />reasonable period of time for a review and determination of completeness upon submittal of the <br />missing or incomplete materials and the required number of copies. <br /> <br /> <br />I intend to submit some, but not 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 from the date <br />the application was submitted to provide the missing or incomplete materials that I intend to submit <br />and that after that date, if I have not submitted the missing information, my application will be void. I <br />also hereby agree to 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 number of <br />copies. The materials I do not intend to submit are those items I have listed on the lines below (attach <br />additional sheets if necessary). <br /> <br /> <br /> <br /> <br /> <br />I do not intend to submit any of the missing or incomplete materials as identified by the City in the <br />completeness review. I understand that the City will proceed with review of the application materials <br />previously submitted. I also understand that incomplete applications may not provide adequate <br />evidence to demonstrate compliance with applicable criteria and standards. Please deem my <br />application complete as of the date this form is received by the City of Eugene Planning Division. <br /> <br /> <br />Printed Name of Applicant or Applicant’s Representative <br /> <br /> <br />Signature of Applicant or Applicant’s Representative Date <br /> <br />