Written Statement <br />Q Submit a detailed written statement describing how this request is consistent with all applicable criteria <br />(Section 9.8415 of the Eugene Code) <br />0■ Submit a detailed written statement describing how the proposal complies with Section 9.8405 of the <br />Eugene Code, which includes the following requirements; <br />❑■ The adjustment will not result in an increase in the number of parcels or lots. <br />0 The proposal will not create more than 2 adjustments to any of the affected lots or parcels within a <br />calendar year.S.F <br />■❑ The adjustment will result in less than a 200% change in the size of a lot or parcel 't3) �A <br />The adjustment will not result in a reconfiguration as defined in the Eugene Code 1j , -ice,;; I` <br />■❑ The adjustment will not create a flag lot 4nts ll_l <br />Site Plan Requirements <br />❑■ Site plans must be suitable for recording on 8.5 by 11 inch paper, black and white, and 10 point font or <br />greater <br />❑■ Show the date, north arrow, and standard engineer's scale on site plan. <br />❑■ Illustrate the location of onsite sewer/wastewater line(s) <br />❑■ Show the Assessor's Map and Tax Lot numbers on the site plan. <br />❑■ Show a vicinity map on the site plan (vicinity map does not need to be to scale). <br />❑■ Site Plan has been stamped by an Oregon licensed Land Surveyor (An Oregon licensed Land Surveyor is <br />not required at time of submission of an application if the request involves a parallel adjustment to <br />platted lots, but an Oregon licensed Land Surveyor will be required prior to finalization of the Property <br />Line Adjustment in accordance with ORS 92.060). <br />0 Show existing dimensions and square footage of the parcels involved. <br />❑■ Show the proposed dimensions and square footage of the parcels involved. <br />0 Clearly label the existing property line proposed for removal or adjustment. Clearly show the proposed <br />adjusted property line. <br />■❑ Show all adjacent streets, alleys, and accessways, including right-of-way and paving widths. <br />Q■ Show all dimensions of existing public utility easements and any other areas restricting use of the parcels, <br />such as conservation areas, slope easements, access easements, etc. <br />0 Show the location, setbacks and height of all existing structures, including those under pending building <br />permits. <br />General Requirements (Submit 1 copy) <br />0 Submit a current preliminary title report for each parcel. Title report(s) must have been issued within one <br />year of the date the application is submitted. <br />www. eugene-or.gov/plannrna <br />Planning & Development Updated: January 2026 <br />Planning Division <br />99 W. 10T" Avenue Suite 290, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planning@eugene-or.gov <br />Page 2 of 5 <br />