WPlanning <br />ZONE VERIFICATION <br />Please complete the following form and provide the required information. If you have questions about filling out this <br />application, please contact staff a�t the Permit and Information Center, 99 West 10`" Avenue, Eugene, OR 97401, phone <br />(541)682-5377. <br />Location of Property: 1 430 <br />Assessor's Map/Tax Lot: 106 <br />Zoning of Property: <br />Proposed Use of Property, if <br />. 12th Ave., Eugene, OR <br />10 <br />Multifam <br />Filing Fee <br />There is no initial filing fee. The fe e for a Zone Verification varies depending on staff time to process the request and <br />will be charged once the request s complete. Check with Planning staff at planning@eugene-or.gov for an estimate of <br />the fee or for the current hourly I ee check: www.eugene-or.gov/2040/Fees-and-Forms <br />Written Statement <br />Submit one paper copy and one digital copy (pdf or tiff format) of a written statement describing why the zone <br />verification is being requested. If applicable, include information describing the proposed use including operating <br />characteristics, building bulk and size, parking demand, and traffic generation per EC 9.1080. Please note that it is the <br />applicant's responsibility to make sure that the digital and paper copies are identical. <br />Note: to request a copy of a certificate of occupancy or building permit information, please complete a Request for <br />Reproduction of Copyrighted Materials form available here: https://www.eugene-or.gov/DocumentCenter/ <br />View/25033/Request-for-Reproduction-of-Copyrighted-Materials, and email it to inspectionsupport@eugene-or.gov. <br />Contact Information <br />Name (print): <br />Rosetta T <br />Company/Organization: BBG <br />Address:1486 Terrell P <br />City/state/zip: Marietta C <br />Email (if applicable): RTayIC <br />II Road Unit 270 <br />30067 <br />Phone: 470-7251357 <br />Ires.com Fax: <br />1 understand that staff time will b' charged in 30 minute increments according to staff costs required to perform the <br />work. Please contact me if the fe reaches $100.00 <br />Signature: <br />Planning & Development <br />Planning Division <br />99 W. 10T Avenue Suite 290, Eugene, <br />Phone: 541.682.5377 or E-mail: planni <br />Date: 3/17/2026 <br />Updated: January 202s <br />Page 1 of 1 <br />