Site Plan Requirements <br />Submit 2 paper copies and 1 digital copy of a site plan, drawn to an engineer's scale on 8 'z" x 11 "sheet of paper. Site plans <br />shall include the following information: <br />❑■ Show the date & north arrow on site plan. <br />0■ Show the Assessor's Map and Tax Lot number(s) on the site plan. <br />❑■ Show a vicinity map on the site plan (vicinity map does not need to be to scale). <br />❑� Show city limits & UGB (if applicable) <br />0■ Clearly label the affected territory and any public right of ways to be annexed. <br />❑■ Show all adjacent streets, alleys, and accessways. <br />Q■ Show all dimensions of existing public utility easements and any other areas restricting use of the parcels, such as <br />conservation areas, slope easements, access easements, etc. <br />❑■ Show the location of all existing structures. <br />Other Application Requirements (Submit 2 paper copies and 1 digital copy of all) <br />❑■ Petition for Annexation form listing all owners, including partial owners, and electors. This form includes the Certification <br />of Electors which must be signed by the Lane County Elections/Voter Registration Department and also includes the <br />Verification (Certification) of Property Owners which must be signed by the Lane County Department of Assessment and <br />Taxation. This form is required even if the land is vacant. <br />❑■ Notarized Consent to Annexation form. <br />❑■ A legal description of the land proposed for annexation, including any public right of way prepared by a registered land <br />surveyor. Oregon Revised Statues (ORS) 308.225 requires submittal of a closing metes and bounds description or <br />subdivision block and lot number description. Please see example of acceptable legal descriptions contained in the <br />application packet. The legal description must exactly correspond with the map included with the application or the <br />Assessor's map. <br />❑■ Summary of Urban Service Provision form. <br />❑■ Census Information Sheet. <br />Note: This is not a complete list of requirements. Additional information may be required after further review in order <br />to adequately address the applicable approval criteria. <br />Planning & Development Updated: January 2025 <br />-- -Planning -Planning Divisioll <br />99 W. 10T" Avenue Suite 290, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planning@eugene-or.gov Page 2 of 4 <br />