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www.eugene-or.gov/planning Planning & Development Updated: February 2026 Planning Division 99 W. 10TH Avenue Suite 290, Eugene, OR 97401 Phone: 541.682.5377 or E-mail: planning@eugene-or.gov Page 3 of 3 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): __________________________________________ Phone: ______________________________ Address: ___________________________________________________________________________________ City/State/Zip: ______________________________________________________________________________ Signature: _________________________________________________________________________________ APPLICANT / APPLICANT’S REPRESENTATIVE (Check one): Name (print): ______________________________________________________________________________ Company/Organization: _____________________________________________________________________ Address: ______________________________________ City/State/Zip: _______________________________ E-mail (if applicable): ____________________________________ Phone: _____________________________ Signature: __________________________________________________________________________________ APPLICANT’S REPRESENTATIVE / DESIGNATED CONTACT PERSON (Check all that apply): Name (print): ______________________________________________________________________________ Company/Organization: _____________________________________________________________________ Address: ______________________________________ City/State/Zip: _______________________________ E-mail (if applicable): ____________________________________ Phone: _____________________________ Signature: ________________________________________________________________________________ Note: This is not a complete list of requirements. Additional information may be required after further review in order to adequately address the applicable approval criteria Bill & Leslie Cornog Living Trust John Schmidt The Satre Group Dan Hill Arbor South Architecture Docusign Envelope ID: 79E9F574-309E-46F8-905D-DD146107641F 5/10/2026 5/7/2026 5/7/2026