9-Arsho <br />• - Planning <br />RECEIVED <br />JUL 1 0 2026 <br />ANNEXATION DETERMINATION <br />Please complete the following information. NBA 61h19f(ad_dlt1b!6M informa,ition may be required upon further review in order <br />to adequately address the applicable criteria for approval. If you have any questions about filling out this application, <br />please contact Planning staff at the Permit and Information Center, phone (541) 682-5377, 99 West 10th Avenue, Eugene. <br />Assessor's Map <br />Tax Lot <br />Zoning <br />Acreage <br />l -o�-v3-33 <br />Property Address/Location: "ffo wo Yoy <br />Pending Building Permit or Land Use Application number(s): <br />[Submit a detailed written description describing the existing and the proposed development (including square <br />footage, use, addition to exiting building or new building, etc.) Se G a ffaLGti e d <br />❑ Submit detailed site plan(s) showing both the existing and proposed development. <br />Is this for a new building/development? ❑ Yes [j2 /No <br />If yes, what kind of building is currently located on the site (i.e. single family home, commercial, industrial): <br />❑ Single Family ❑ Commercial ❑ Industrial ther: <br />Is there an existing building on site or new building? ❑ Yes 2-N <br />Is this an addition to a current building on site or a new building? ❑ Yes No <br />What is the square footage of the existing building? <br />What is the square footage of new proposed building? <br />What is the square footage of addition to existing building? <br />Is the property currently connected to water? yL�S <br />Is new water hookup required? (i.e. bathrooms, irrigation, hose bibs, fire hydrant, etc.)? ❑ Yes No <br />Is the building currently connected to wastewater? ❑ Yes ® No <br />Will the new building need to hook up to new wastewater? ❑ Yes [KNo <br />Describe or show the location of the closest public wastewater/water lines. For more information, contact Public Works <br />Engineering staff at 541-682-8400 or cewepic@ci.eugene.or.us <br />Eugene Code Section 9.4640(1) Annexation is required prior to any of the following actions: <br />(a) Any Zone Change or Planned Unit Development approval if the development potential of the existing lot(s) <br />would increase, or the proposed or allowable uses will generate, singly or in the aggregate, a direct additional <br />need for key urban facilities and services. <br />(b) Approval of any new dwelling unit(s), commercial or employment and industrial development. <br />(c) Approval of an expansion of an existing commercial or employment and industrial development fi the proposed <br />use will generate, singly or in the aggregate, a direct additional need for key urban facilities and services <br />provided by the city. <br />Please note that if annexation is required, the site must be contiguous with the City Limits and have available sewer. <br />www.eugene-or. pov/planning <br />Planning & Development Updated May 2024 <br />Planning Division <br />99 W. 10T" Avenue Suite 290, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planningPeugene-or.gov Page 1 of 2 <br />