ZONE VERIFICATION <br />www.eugene-or.gov/planning <br />Updated: May 2024 Planning & Development <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 1 <br />Please complete the following form and provide the required information. If you have questions about filling out this <br />application, please contact staff at the Permit and Information Center, 99 West 10th Avenue, Eugene, OR 97401, phone <br />(541) 682-5377. <br />Location of Property: _______________________________________________________________________________ <br />Zoning of Property: _________________________________________________________________________________ <br />Proposed Use of Property, if applicable: ________________________________________________________________ <br />Filing Fee <br />There is no initial filing fee. The fee for a Zone Verification varies depending on staff time to process the request and <br />will be charged once the request is complete. Check with Planning staff at planning@eugene-or.gov for an estimate of <br />the fee or for the current hourly fee check: www.eugene-or.gov/2040/Fees-and-Forms <br />Written Statement <br />Submit one paper copy and one digital copy (pdf or tiff format) of a written statement describing why the zone <br />verification is being requested. If applicable, include information describing the proposed use including operating <br />characteristics, building bulk and size, parking demand, and traffic generation per EC 9.1080. Please note that it is the <br />applicant’s responsibility to make sure that the digital and paper copies are identical. <br />Note: to request a copy of a certificate of occupancy or building permit information, please complete a Request for <br />Reproduction of Copyrighted Materials form available here: https://www.eugene-or.gov/DocumentCenter/ <br />View/25033/Request-for-Reproduction-of-Copyrighted-Materials, and email it to inspectionsupport@eugene-or.gov. <br />Contact Information <br />Name (print): ____________________________________________________________________________________ <br />Company/Organization: ____________________________________________________________________________ <br />Address: _________________________________________________________________________________________ <br />City/State/Zip: ____________________________________________ Phone: _______________________________ <br />Email (if applicable): ________________________________________ Fax: __________________________________ <br />I understand that staff time will be charged in 30 minute increments according to staff costs required to perform the <br />work. Please contact me if the fee reaches $__________. <br />Signature: __________________________________________________________ Date: ______________________ <br />494 W. 10th Ave <br />Independent living facility <br />Dawn Carrington <br />Cretelligent <br />2717 S Arlington Rd <br />AkronOH44313 3302838065 <br />d.carrington@cretelligent.com <br />1/3/2025