<br />Annexation Completeness Review Form Last Revised 9/2024 Page 2 of 2 <br /> <br />☒ ☐ ☐ ☐ <br />8. All dimensions of existing public utility easements and any other areas <br />restricting use of the parcels, such as conservation areas, slope <br />easements, access easements, etc. are shown. <br />Comments 4) Although the map does have Devon Avenue labeled as “inside City”, please shade or hatch the street right-of- <br />way so it is plainly visible and labeled as “inside City limits”. Please review the attached sample site plan from a <br />recent annexation and note the scale that shows some of the adjacent properties. A darker bold line weight for <br />the property outline would also be helpful. The goal is for City Councilors to review the map and have no <br />questions about which property is being annexed and where it is adjacent to already annexed land or right-of- <br />way. <br /> <br />General Requirements <br />Submitted Missing Incomplete N/A <br />☒ ☐ ☐ ☐ 9. Petition for Annexation listing all owners, including partial owners, and <br />electors. <br />☒ ☐ ☐ ☐ 10. Certification of Electors form signed by the Lane County Elections/Voter <br />Registration Department. <br />☒ ☐ ☐ ☐ 11. Verification (Certification) of Property Owners form signed by the Lane <br />County Department of Assessment and Taxation. <br />☒ ☐ ☐ ☐ 12. Notarized Consent to Annex. <br />General Requirements (continued) <br />Submitted Missing Incomplete N/A <br />☒ ☐ ☐ ☐ <br />13. A legal description of the land proposed for annexation, including any <br />public right of way prepared by a registered land surveyor. These <br />descriptions must be typed on an 8-1/2 x 11" white sheet of paper (no <br />letterhead) so that it is suitable for recording. <br />☒ ☐ ☐ ☐ 14. Certification of Description signed by a registered land surveyor. <br />☒ ☐ ☐ ☐ 15. Summary of Urban Service Provision. <br />☒ ☐ ☐ ☐ 16. An 8½ x 11 county assessor’s cadastral map. <br />☒ ☐ ☐ ☐ 17. Census Information Sheet <br />Comments <br /> <br />Yes No For Staff Use Only <br />☐ ☒ 1. Confirm zoning and designation and if /ND & /WQ overlays will be automatically applied upon <br />annexation. (Check OnTrack and Metro Plan to verify if property is designated for Nodal <br />Development. Check OnTrack for /WQ after June 10, 2009.) <br />☐ ☒ 2. Is this within a special district? (Check RLID). If so, add info item to findings regarding need for <br />withdrawal by the City – see previous findings for example. <br /> <br /> <br /> <br />Yes No For Staff Use Only - Referral Information <br />☐ ☒ 3. Is the right-of-way county maintained? If yes, route land use referral to Lane County <br />Transportation and Lane County Road Maintenance Planning. <br />☐ ☒ 4. Does the resulting change create or eliminate a split zone or split overlay zone? If Yes, please send <br />referral to Thea Evans or Planning GIS Specialist <br />☐ ☐ 5. Other: <br /> <br /> <br /> <br /> <br />