Z ZZ ' Z <br />AFFIDAVIT OF ELECTRONIC SUBMISSION OF NOTICE TO DLCD <br />hereby certify that I am an employee of the <br />City of Eugene. I further certify that on tIVN.,1 0 3 -7 <br />, I electronically submitted <br />the notice of post-acknowledgment plan amendment indicated below, as well as the <br />documentation attached as Exhibit A, to the Department of Land Conservation and Development <br />(DLCD) using DLCD's "PAPA Online" electronic submission tool. <br />❑ New Proposal <br />❑ Rev' ' n <br />Adoption <br />❑ Withdrawal/Denial <br />Dated this lc day of , ~Z-1. <br />State of Oregon ) <br />) ss. <br />County of Lane ) <br />[Employee natur <br />Signed and affirmed before me on by <br />~~~dj\..I <br />OFFICIAL STAMP <br />DANA M BERNARD <br />I NOTARY PUBLIC-OREGON <br />COMMISSION NO. 1005660 <br />MY COMMISSION EXPIRES NOVEMBER 23, 2024 <br />Notary Public for Oregon <br />My Commission Expires: L1 a <br />