SITE REVIEW <br />www.eugene-or.gov/planning <br />Planning & Development Updated: May 2024 <br />Planning Division <br />99 W. 10TH Avenue Suite 290, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planning@eugene-or.gov Page 1 of 6 <br /> <br />Please complete the following application checklist. Note that additional information may be required after further <br />review to adequately address the applicable approval criteria. If you have any questions about completing this <br />application, please contact Planning staff at the Permit and Information Center, phone (541) 682-5377, 99 West 10th <br />Avenue, Eugene. <br /> <br />List all Assessor’s Map and Tax Lot numbers of the property included in the request. Please indicate if only a portion <br />of a lot is included in the request. <br /> <br />Assessor’s Map Tax Lot Zoning <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Site address(es): _________________________________________________________________________ <br /> <br />Area of Request (square feet/acres): ________________________________________________________ <br /> <br />Existing Use of Property: __________________________________________________________________ <br /> <br />Proposed Use of Property: ________________________________________________________________ <br /> <br />Adjustment Requested? Yes No <br />Specify type of adjustment being requested: ______________________________________________ <br /> <br />Does adjustment request include stormwater drainage facilities: Yes No <br /> (If request includes Pollution Reduction/Flow Control, submit approved alternative design. If request includes Source <br />Control, submit DAR form.) <br /> <br />Site Review Approval Criteria type (check one): <br /> General/Discretionary <br /> <br /> Housing/Clear and Objective <br /> <br />Is site included on City acknowledged Statewide Goal 5 Inventory <br /> Yes No Uncertain <br /> <br />Filing Fee <br /> A filing fee must accompany all applications. Check with Planning staff at the Permit and Information Center to <br />determine the required fee or check the City website at www.eugene-or.gov