REPRESENTATIVE (If different from Surveyor): <br />Carol Schirmer <br />Name (print): <br />Company/Organization: Schirmer Consulting, LLC <br />Address: PO Box 10424 <br />City/State/Zip: Eugene, OR 97440 Phone: 541.234.5108 Fax: <br />E-mail: schirmer@schirmerconsulting.com <br />Signature: Date: 3.19.23 <br />"Attached additional sheets if necessary. <br />Planning & Development <br />Planning Division <br />99 W. 10TH Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail:eugeneplanning@ci.eugene.or.us <br />Updated: December 2016 <br />Page 4 of 4 <br />