<br />Form Updated: 1/24/2025 <br /> <br />Middle Housing Land Division, Tentative Completeness Review Form Page 3 of 3 <br /> <br /> <br />For Staff Reference Only <br />Are there any past land use approvals (PUD, <br />Site Review, etc.) on file for the property? <br />If so, which file numbers apply? <br /> <br />Do any applicable land use approvals <br />preclude development of middle housing? <br />If yes, notify BPS Land Use Analysts. <br /> <br /> <br />For Staff Use Only – Referral Information <br />Yes No <br />☒ ☐ Does Building Permit Services require a referral for this application? (Is a residential structure setback <br />less than 3 feet from any new property line? <br />☐ ☒ Is the right-of-way county maintained? If yes, route land use referral to Lane County Transportation <br />and Lane County Road Maintenance Planning. <br />☐ ☒ Route to Bonneville Power Administration (if site includes a BPA easement). <br />☐ ☒ 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 />☐ Other: <br /> <br />