DLCD FORM 3 NOTICE OF A DENIAL OR WITHDRAWAL FOR DLCD USE <br />~l OF A PROPOSED CHANGE TO A PLAN File No.: <br />OR LAND USE REGULATION Received: <br />Local governments are required to send notice of the denial or withdrawal of a proposed change to a <br />comprehensive plan or land use regulation. (See <br />Jurisdiction: City of Eugene <br />Local file no.: CA 15-1, MA 15-2, RA 15-1 & Z 15-2 <br />® Withdrawn <br />❑ Denied <br />Date of withdrawal or denial: 05/09/16 <br />Reason for withdrawal or denial: Unanimous motion of Eugene City Council to withdraw the applications <br />If a denial includes an order, resolution, or ordinance, include a copy with this form. <br />Date the Notice of a Proposed Change (Form 1) was sent to DLCD: April 27, 2015 <br />Local contact person (name and title): Gabriel Flock, Senior Planner <br />Phone: 541-682-5697 E-mail: gabriel.flock@ci.eugene.or.us <br />Street address: 99 West 10th Avenue City: Eugene Zip: 97401 <br />NOTICE OF DENIAL OF WITHDRAWAL - SUBMITTAL INSTRUCTIONS <br />1. A Notice of Denial or Withdrawal must be <br />submitted by a local government (city, county or <br />metropolitan service district). DLCD will not accept <br />a notice submitted by an individual or private firm or <br />organization. <br />4. Electronic Submittal: Address e-mails to <br />with the subject line <br />"Notice of Proposed Amendment." <br />This form is available here: <br />)://WW4A <br />2. If a denial includes an order, resolution, or <br />ordinance, include a copy of the instrument with this <br />form. <br />3. Hard-copy submittal: When submitting a <br />Notice of Denial or Withdrawal on paper, via the US <br />Postal Service or hand-delivery, print a completed <br />copy of this Form 3 on light green paper if available. <br />Submit one copy of the form and other materials if <br />applicable to: <br />Attention: Plan Amendment Specialist <br />Dept. of Land Conservation and Development <br />635 Capitol Street NE, Suite 150 <br />Salem, OR 97301-2540 <br />5. File format: When submitting a Notice of <br />Denial or Withdrawal via e-mail or on a digital disc, <br />attach all materials in one of the following formats: <br />Adobe pdf (preferred), or Microsoft Office (for <br />example, Word doc or docx or Excel xls or xlsx). <br />For other file formats, please contact the plan <br />amendment specialist at 503-934-0017 or <br />