A.0h <br />• 14WPlanning <br />M AY - 9 2021 <br />PARTITION, TENTATIVE PLAN <br />Please complete the following application eheckRst. Note: that additional information may be required upon further <br />review in order to adequately address the applicable criteria for approval. If you have any questions about filling out <br />this application, please contact Planning staff at the Permit and Information Center, phone (541) 682-5377, 99 West 10th <br />Avenue, Eugene. <br />List all Assessor's Map and Tax Lot numbers of the property included in the request. Proposals are required to include <br />all property under contiguous ownership of the applicant. <br />Assessor's Map Tax Lot Zoning <br />17-03-33-12 718 R-1 <br />Current site address(es): 3685 Bardell DR./ 590 Lindley Ln., Eugene, OR 97401 <br />Name of Partition Plat: Partition for Mehran Sepehri & Carol Mills <br />Adjustment Requested? ❑Yes Q No Specify type of adjustment being requested: <br />Does adjustment request include stormwater drainage facilities: ❑ Yes ❑ No <br />(If request includes Pollution Reduction/Flow Control, submit approved alternative design. If request includes Source <br />Control, submit DAR form.) <br />Tentative Plan Approval Criteria type (check one): Commercial or Industrial Building(s) located on site? <br />Q General (EC 9.8215) ❑ Yes - Submit a fourth copy of written statement <br />❑ Needed Housing (EC 9.8220) and set of site plans at the time of initial submittal. <br />0 No <br />www. euaene-or. goylpl anning <br />Planning & Development Updated: February 2016 <br />Planning Division <br />99 W. 10TM Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: eugeneolanning@ci.eugene.or.us <br />Page 1 of 7 <br />