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www.eugene-or.gov/planning Planning & Development Planning Division Updated: May 2024 99 W. 10TH Avenue Suite 290, Eugene, OR 97401 Phone: 541.682.5377 or E-mail: planning@ci.eugene.or.us Page 3 of 3 By signing, the undersigned certifies that he/she has read and understood the submittal requirements outlined, and that he/she understands that omission of any listed item may cause delay in processing the application. I (We), the undersigned, acknowledge that the information supplied in this application is complete and accurate to the best of my (our) knowledge. OWNER (Also the Applicant? Yes / No): Name (print): ____________________________________________ Phone: ___________________________________________ Address: ___________________________________________________________________________________________________ City/State/Zip: _______________________________________________________________________________________________ Signature: ___________________________________________________________________________________________________ APPLICANT / APPLICANT’S REPRESENTATIVE (Check one): Name (print): ________________________________________________________________________________________________ Company/Organization: _______________________________________________________________________________________ Address: ____________________________________________________________________________________________________ City/State/Zip: ___________________________________________ E-mail (if applicable): ________________________________ Phone: _________________________________________________ Fax: ______________________________________________ Signature: ___________________________________________________________________________________________________ APPLICANT’S REPRESENTATIVE / DESIGNATED CONTACT PERSON (Check all that apply): Name (print): ________________________________________________________________________________________________ Company/Organization: _______________________________________________________________________________________ Address: ____________________________________________________________________________________________________ City/State/Zip: ___________________________________________ E-mail (if applicable): ________________________________ Phone: _________________________________________________ Fax: ______________________________________________ Signature: ___________________________________________________________________________________________________ Note: This is not a complete list of requirements. Additional information may be required after further review in order to adequately address the applicable approval criteria. West Gate Industrial Park, LLC (541) 501-1138 3025 W 7th Place Eugene, Oregon 97402 John Schmidt The Satre Group 375 West 4th Avenue, Suite 201 Eugene, Oregon, 97401 john@satregroup.com 541-686-4540 John Schmidt Digitally signed by John Schmidt DN: C=US, E=john@satregroup.com, O="The Satre Group, Inc.", CN=John Schmidt Date: 2024.07.11 18:06:14-07'00' Andrew Strout Branch Engineering Inc. 310 5th Street Springfield, OR 97477 andrews@branchengineering.com 541-746-0637