www.eugene-or.gov/planning <br />Planning & Development Updated: January 2026 <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 3 of 3 <br />that there is inadequate water supply, apparatus access, or both, to the site for the development of one <br />and two family dwellings that will be subject to the Oregon Residential Specialty Code, the Eugene Building <br />suppression or fire containment Uniform Alternate Construction Standards set out at OAR 918-480-0125(4) <br />and (5). <br />By signing, the undersigned certifies that he/she has read and understood the submittal requirements <br />outlined, and that he/she understands that omission of any listed item may cause delay in processing the <br />application. I (We), the undersigned, acknowledge that the information supplied in this application is <br />complete and accurate to the best of my (our) knowledge. <br />OWNER (Also the Applicant? Yes / No): <br /> <br /> <br /> <br /> _________________________________________________________________________________________________ <br />APPLICANT (Check one): <br />Name (print): ______________________________________________________________________________________________ <br />Company/Organization: ____________________________________________________________________________________ <br />Address: ______________________________________________City/State/Zip: _____________________________________ <br />E-mail (if applicable): ___________________________________________ Phone: ___________________________________ <br />Signature: _________________________________________________________________________________________________ <br />/ DESIGNATED CONTACT PERSON (Check all that apply): <br /> <br /> <br /> <br /> <br /> _________________________________________________________________________________________________