j4iWPIanning <br />RECEIVED <br />ANNEXATION <br />J L L 2 3 2021 <br />(',i`v r)7 r-, 'rF, F <br />Please complete the following applicatibn checklist..,,Noterthat,aoditional 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 this <br />application, please contact Planning staff at the Permit and Information Center, phone (541)682-5377, 99 West loth <br />Avenue, Eugene. <br />List all Assessor's Map and Tax Lot numbers of the property included in the request. <br />Property Address: 3915 Scenic Dr. <br />Plans for Future Development & Permit Number (if applicable): Residential Subdivision <br />Public Service Districts: <br />Name <br />Parks: Aubrey Park <br />Electric: EWEB <br />Water: EWEB <br />Sanitary Sewer City of Eugene <br />Fire: Santa Clara Rural Fire District <br />Schools: Elementary: Aubrey Park Middle: Madison High: North <br />Other: <br />Filing Fee <br />❑ A filing fee must accompany all applications. The fee varies depending upon the type of application and is adjusted <br />periodically by the City Manager. Check with Planning staff at the Permit and Information Center to determine the <br />required fee or check website at www.eugeneplanning.org <br />Written Statement (Submit 5 copies) <br />❑ Submit a detailed written statement describing how this request is consistent with all applicable criteria (Section <br />9.7825 of the Eugene Code). <br />Planning & Development Updated: December 2016 <br />Planning Division <br />99 W. 10TH Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail:eugeneplanning@ci.eugene.or.us Page 1 of 4 <br />