AM <br />WPIanning <br />SUBDIVISION, TENTATIVE PLAN <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. Proposals are required to include <br />all property under contiguous ownership of the applicant. <br />Assessor's Map Tax Lot Zoning <br />17-04-02-14 1400 R1 <br />Area of Request (square feet/acres): 1.82 Ac Number of Lots (to be created): 11 <br />Name of Subdivision: <br />Adjustment Requested? <br />® No ❑ Yes, section number(s): <br />If Adjustment is for EC 9.8030(24) Source Control, submit a DAR form with stormwater analysis. <br />Subdivision, Tentative Plan Approval Criteria (check one): <br />❑ General (EC 9.8515) ❑ Cluster Subdivision - General (EC 9.8055) <br />® Needed Housing (EC 9.8520) ❑ Subdivision of Manufactured Dwelling Park or <br />Mobile Home Park (ORS 92.835) <br />Is site included on acknowledged Statewide Goal 5 Inventory? <br />❑Yes ® No ❑uncertain <br />Commercial or Industrial Building(s) located on site? <br />❑ Yes - Submit a fourth copy of written statement ® No <br />and set of site plans at the time of initial submittal. <br />www. eugene-or. goy/planning <br />Planning & Development Updated: February 2016 <br />Planning Division <br />99 W. 10T" Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planning@ci.eugene.or.us Page 1 of 7 <br />