P* <br />11PP anning <br />MIDDLE HOUSING LAND DIVISION, TENTATIVE PLAN <br />Please complete the following -application checklist. Note that additional information may be required upon <br />further review in order to- adequately address the applicable criteria for approval. If you have any questions <br />about filling out this application, please contact Planning staff at the Permit and Information Center, phone <br />(541) 682-5377, 99 West 10th Avenue Suite 290, Eugene, OR 97401. <br />List all Assessor's Map and Tax Lot numbers of the property included in the request. Proposals are <br />required to include all property under contiguous ownership of the applicant. <br />Assessor's NCap; <br />Tax Lot <br />Zoning; <br />Eat area square feet�acres� <br />Name of Middle Housing Land Division: Z4&!J,46G./ <br />Existing Use on Property:. ��1��:✓�/AL <br />Middle Housing Type (check one):'Duplex ❑Triplex ❑ Fourplex F-1 Cottage Cluster ❑Townhouses <br />Middle Housing Status: ADeveloped (Existing): before OR ❑after June 30, 2022 <br />F-] Proposed (new): <br />❑ To be developed later <br />Permit Review/Issued -Permit No(s): <br />Does the project include Middle Housing Conversion (see definition at EC 9,0500)? Yes F-] No <br />Is site included on acknowledged Statewide Goal 5lnventory? F]Yes F-] No �, Uncertain <br />Is this application running concurrently with another Land Use Application? <br />;KNo ❑Yes, type: <br />Adjustment Requested?XJ\10 F-1 Yes, section number(s): <br />Filing Fee <br />A filing fee must accompany all applications. The fee varies depending upon the type of application and is <br />adjusted periodically by the City Manager. Check with Planning staff at the Permit and Information <br />Center to determine the required fee or check website at: www.eugeneplanning.org <br />Application Procedures <br />41 would like to follow the application procedures listed in EC 9.7900 - 9.7925; or <br />❑ I would like to follow the applications procedures listed under the Expedited Land Division procedures <br />listed in ORS 197.365, as amended by Enrolled House Bill 2138 (see next page for summary of <br />differences). <br />Zplanning <br />Planning & Development Updated: March 2026 <br />Planning Division <br />99 W. 1011 Avenue Suite 290, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planning eugene-or.gov <br />Page 1 of 5 <br />