Map Information <br />❑ A map indicating the property involved in the request and showing adjacent streets, alleys, etc. <br />X❑ A vicinity map showing the general area of the request and indicating the specific property involved in the <br />request. <br />Legal Description <br />® A legal description for each existing lot involved in the requested change. This description must be typed and <br />suitable for recording. <br />By signing, the undersigned certifies that he/she has read and understood the submittal requirements outlined, and <br />that he/she understands that omission of any listed item may cause delay in processing the application. I (We), the <br />undersigned, acknowledge that the information supplied in this application is complete and accurate to the best of <br />my (our) knowledge. <br />OWNER (Also the Applicant? FX-] Yes / ❑ No): <br />Name (print): Eugene School District 4J (Carole Knapel, Capital Improvement Program Mgr. ) Phone: 541.790.7427 <br />Address: 200 N. Monroe Street <br />City/State/Zip: Eugene; Oregon 97402 <br />Signature: <br />APPLICANT❑ / APPLICANT'S REPRESENTATIVE 7X (Check one): <br />Name (print): Kristen Taylor <br />Company/Organization: TBG Architects + Planners <br />Address: 132 East Broadway. Suite 200 <br />City/State/Zip: Eugene, OR 97401 E-mail (if applicable): ktaylor@tbg-arch.com <br />Phone: 541.687.1010 Fax: <br />Signature: <br />NOTE: This is not a complete list of requirements. Additional information may be required after further review in <br />order to adequately address the required criteria of approval. <br />99 M 10 - Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: eugeneplanning@d.eugene.or.us Page 2 of 2 <br />