AN I Nh <br />WPlanning <br />MIDDLE HOUSING LAND DIVISION, TENTATIVE PLAN <br />Please complete the following application checklist. Note that additional information may be required upon <br />further review in order to adequately address the applicable criteria for approval, If you have any questions <br />about filling out this application, please contact Planning staff at the Permit and Information Center, phone <br />(541) 682-5377, 99 West 101" 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 <br />required to include all property under contiguous ownership of the applicant. <br />Assessor's Map <br />Tax Lot <br />Zoning <br />-4, <br />Lot Area (square feet/acres) <br />17-04-36-34 <br />5300 <br />R-1 <br />18+/- <br />Name of Middle Housing Land Division: Middle Housing Partition for M.Dianne Cunnigham Trust-Tenantive Plan <br />Existing Use on Property: Residential- Detached Duplex <br />Middle Housing Type (check one): X 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 X 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? <br />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 <br />adjusted periodically by the City Manager. Check with Planning staff at the Permit and Information <br />Center to determine the required fee or check website at: www.eugeneplanning.org <br />Application Procedures <br />❑ I would like to follow the application procedures listed in EC 9.7900 - 9.7925; or <br />(� I would like to follow the applications procedures listed under the Expedited Land Division procedures <br />listed in ORS 197.365, as amended by Enrolled House Bill 2138 (see next page for summary of <br />differences). <br />_._... --. -- <br />www.eugene-or.gov/planning <br />Planning & Development Updated: October 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 <br />Page 1 of 5 <br />