d Ill iA.01 k <br />gz- - <br />• • Planning <br />IqMW <br />Incomplete Land Use Application Form- <br />180 Day Completeness Review Process <br />Eugene Planning Division <br />Attn: Nicholas Gioello <br />Atrium Building <br />99 West 1011 Avenue <br />Eugene, Oregon 97401 <br />Phone: 541- 682- 5377 <br />Fax: 541- 682- 5572 <br />www.eugene- or.gov/planning <br />File Eugene 4.1 (Z 22-11) <br />99 West 10th Avenue <br />Eugene, OR 97401 <br />TELE - (541) 682-5453 <br />FAX- (541) 682-5572 <br />Completeness Review Step (Check ONE box) <br />❑X I intend to submit all of the missing or incomplete materials as identified by the City in completeness <br />review. I understand that according to State law I have up to 180 days from the date the application <br />was submitted to provide the missing or incomplete materials and that after that date, if I have not <br />submitted the missing information, my application will be void. I also hereby agree to allow the City a <br />reasonable period of time for a review and determination of completeness upon submittal of the <br />missing or incomplete materials and the required number of copies. <br />❑ I intend to submit some, but not all, of the missing or incomplete materials as identified by the City in <br />completeness review. I understand that according to State law I have up to 180 days from the date <br />the application was submitted to provide the missing or incomplete materials that I intend to submit <br />and that after that date, if I have not submitted the missing information, my application will be void. I <br />also hereby agree to allow the City a reasonable period of time for a review and determination of <br />completeness, upon submittal of the missing or incomplete materials and the required number of <br />copies. The materials I do not intend to submit are those items I have listed on the lines below (attach <br />additional sheets if necessary). <br />❑ I do not intend to submit any of the missing or incomplete materials as identified by the City in the <br />completeness review. I understand that the City will proceed with review of the application materials <br />previously submitted. I also understand that incomplete applications may not provide adequate <br />evidence to demonstrate compliance with applicable criteria and standards. Please deem my <br />application complete as of the date this form is received by the City of Eugene Planning Division. <br />ZACH GALLOWAY, AICP <br />Printed Name of Applicant or Applicant's Representative <br />09.27.22 <br />Signature of Applicant or Applicant's Representative <br />Date <br />