www.eugene-or.gov/planning <br />Planning & Development Updated May 2024 <br />Planning Division <br />99 W. 10TH Avenue Suite 290, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planning@eugene-or.gov Page 2 of 2 <br />By signing, the undersigned certifies that he/she has read and understood the submittal requirements outlined, and that he/sh e <br />understands that omission of any listed item may cause delay in processing the application. I (We), the undersigned, acknowledge <br />that the information supplied in this application is complete and accurate to the best of my (our) knowledge. <br /> <br />OWNER (Also the Applicant? Yes / No): <br /> <br /> <br />Name (print): ____________________________________________ Phone: ___________________________________________ <br />Address: ___________________________________________________________________________________________________ <br />City/State/Zip: _______________________________________________________________________________________________ <br />Signature: ___________________________________________________________________________________________________ <br /> <br />APPLICANT / APPLICANT’S REPRESENTATIVE (Check one): <br /> <br /> <br />Name (print): ________________________________________________________________________________________________ <br />Company/Organization: _______________________________________________________________________________________ <br />Address: ____________________________________________________________________________________________________ <br />City/State/Zip: ___________________________________________ E-mail (if applicable): ________________________________ <br />Phone: _________________________________________________ Fax: ______________________________________________ <br />Signature: ___________________________________________________________________________________________________ <br /> <br />APPLICANT’S REPRESENTATIVE / DESIGNATED CONTACT PERSON (Check all that apply): <br /> <br /> <br />Name (print): ________________________________________________________________________________________________ <br />Company/Organization: _______________________________________________________________________________________ <br />Address: ____________________________________________________________________________________________________ <br />City/State/Zip: ___________________________________________ E-mail (if applicable): ________________________________ <br />Phone: _________________________________________________ Fax: ______________________________________________ <br />Signature: ___________________________________________________________________________________________________ <br /> <br />Note: This is not a complete list of requirements. Additional information may be required after further review in order to <br />adequately address the applicable approval criteria. <br /> <br />Ben Brasher / Larane Investments, LLC 916.426.3111 <br />5702 Lonetree Blvd <br />Rocklin, CA 95765 <br />Jo Ryan <br />Carvana, LLC <br />300 E Rio Salado Pkwy Bldng 1 <br />Tempe, AZ 85281 jo.ryan2@carvana.com <br />503-515-7861 <br />Kimberly Coronel <br />Kimley-Horn <br />1100 W Town and Country Road <br />Orange, CA 92868 kimberly.coronel@kimley-horn.com <br />714-705-1384 <br />Kimberly Coronel Digitally signed by Kimberly Coronel <br />DN: C=US, E=kimberly.coronel@kimley-horn.com, O=Kimley-Horn, CN=Kimberly Coronel <br />Date: 2026.01.13 11:06:03-08'00'