Application Materials - Laserfiche WebLink

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):Meg Blanchet Address:2905 Adams St City/State/Zip:Eugene, OR 97405 Signature:Melanchet 541-915-8649 Phone: APPLICANT / APPLICANT'S REPRESENTATIVE ? (Check one): Name (print): Lloyd L Tolbert, LS Company/Organization:Tolbert Associates, LLC Address:P.O. Box 22606 City/State/Zip:Eugene, OR 97402 541-359-8426 Phone: Signature: lloyd @tolbertassociates.com E-mail (if applicable): Fax: APPLICANT'S REPRESENTATIVE ? / DESIGNATED CONTACT PERSON (Check all that apply): Name (print):same as representative Company/Organization: Address: City/State/Zip: - Phone: Signature: E-mail (if applicable): Fax: www.eugene-or.gov/planniaa Updated: May 2025Planning & Development Planning Division 99 W. 10TH Avenue Suite 290, Eugene, OR 97401 Phone: 541.682.5377 or E-mail: planning@eugene-or.gov Page 4 of 4