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2025-09-09 Affidavit of DLCD Notice Submission
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2025-09-09 Affidavit of DLCD Notice Submission
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Last modified
9/11/2025 3:05:39 PM
Creation date
9/11/2025 3:05:00 PM
Metadata
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Template:
PDD_Planning_Development
File Type
CA
File Year
25
File Sequence Number
3
Application Name
Public Health Standards
Document Type
Public Notice
Document_Date
9/9/2025
External View
Yes
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CA Z�s- a3 "? 1-kf <br />11D L_cD <br />AFFIDAVIT OF ELECTRONIC SUBMISSION OF NOTICE TO DLCD <br />SC/ , hereby certify that I am an employee of the <br />City of Eugene. I further certify that on o Q C) 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 />t <br />❑ Revision <br />❑ Adoption <br />❑ Withdrawal/Denial <br />Dated this �(� day of 5,�fl�lvoqr 10 21� <br />__�4 /-) - <br />[ErWyee Signature] <br />State of Oregon ) <br />ss. <br />County of Lane } <br />Signed and affirmed before me on <br />k 0 go% 9 f-t.L_ �; s&L, t � <br />R OFFICIAL STAMP <br />c SALINA JOANN W}LDE-PICKENS <br />NOTARY PUBLIC - OREGON <br />COMMISSION NO. 1040378 <br />MY COMMISSION EXPIRES SEPTEMBER 07, 2027 <br />by <br />Notary Public for Oregon <br />My Commission Expires: <br />
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