MIDDLE HOUSING LAND DIVISION, TENTATIVE PLAN <br />www.eugene-or.gov/planning <br />Planning & Development Updated: May 2025 <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 4 <br />Please complete the following application checklist. Note that additional information may be required upon further <br />review in order to adequately address the applicable criteria for approval. If you have any questions about filling out <br />this application, please contact Planning staff at the Permit and Information Center, phone (541) 682-5377, 99 West <br />10th Avenue Suite 290, Eugene, OR 97401. <br />List all Assessor’s Map and Tax Lot numbers of the property included in the request. Proposals are required to <br />include all property under contiguous ownership of the applicant. <br />Assessor’s Map Tax Lot Zoning Lot Area (square feet/acres) <br />Name of Middle Housing Land Division:________________________________________________________________ <br />Existing Use on Property:____________________________________________________________________________ <br />Middle Housing Type (check one): Duplex Triplex Fourplex Cottage Cluster Townhouses <br />Middle Housing Status: Developed (Existing): before OR after June 30, 2022 <br /> Proposed (new): <br /> To be developed later <br /> Permit Review/Issued - Permit No(s):_______________________________ <br />Does the project include Middle Housing Conversion (see definition at EC 9.0500)? Yes No <br />Is site included on acknowledged Statewide Goal 5 Inventory? Yes No Uncertain <br />Is this application running concurrently with another Land Use Application? No Yes, type:_______________ <br />Adjustment Requested? No Yes, section number(s):__________________________________________ <br />Filing Fee <br />A filing fee must accompany all applications. The fee varies depending upon the type of application and is adjusted <br />periodically by the City Manager. Check with Planning staff at the Permit and Information Center to determine the <br />required fee or check website at: www.eugeneplanning.org <br />Submittal Requirements <br />Provide 2 paper copies and one digital copy (CD, USB Drive, or Other) of all application materials (i.e. written <br />statement, site plans, etc.). Digital files must be in PDF file format. Please note that it is the applicant’s responsibility to <br />make sure that the digital and paper copies are identical. Following completeness review, an updated digital and paper <br />copies may be required. All paper site plans must be folded to a size equal or less than 11” x 17”. Per EC 9.8193(1), the <br />application must be prepared by an Oregon Licensed Land Surveyor.