404M <br />PROPERTY LINE ADJUSTMENT <br />14WPlanning <br />Please complete the following application checklist. 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. <br />Assessor's Map <br />Tax Lot <br />Zoning <br />Existing Use <br />18030333 <br />A portion of 3100 <br />R-1, PD <br />Vacant <br />Address of involved properties: Not assigned <br />Pending Building Permit or Land Use application?: <br />❑ Yes, application Number: No <br />Is this a removal of a property line? E] Yes, Plat Name (if applicable): <br />No <br />Purpose of proposed property line change: Adjust boundary for a new private street <br />Commercial or Industrial Building(s) located on site? <br />❑ Yes - Submit an additional written statement and set of site plans at the time of initial submittal. No <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 https://www.eugene-or.gov/2040/Fees-and-Forms <br />Submittal Requirements: <br />Provide 2 paper copies and one electronic copy of all application materials (i.e. written statement, site plans, etc.) in pdf <br />format at the time of initial submittal. Please note that it is the applicant's responsibility to make sure that the <br />electronic and paper copies are identical. Following completeness review, an updated electronic copy and <br />additional paper copies may be required. All site plans a size equal or less than 11" x 17". <br />Written Statement <br />Submit a detailed written statement describing how this request is consistent with all applicable criteria (Section <br />9.8415 of the Eugene Code) <br />❑N Submit a detailed written statement describing how the proposal complies with Section 9.8405 of the Eugene Code, <br />which includes the following requirements; <br />The adjustment will not result in an increase in the number of parcels or lots. <br />The proposal will not create more than 2 adjustments to any of the affected lots or parcels within a calendar <br />year. <br />www. euaene-or. goy/planning <br />Planning & Development Updated: October 2019 <br />Planning Division <br />99 W. 10TH Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planning@ci.eugene.or.us Page 1 of 3 <br />