• - Planning <br />RECEIVED SUBDIVISION, TENTATIVE PLAN <br />Please complete the following applicatic n checkli to��o e�h titional i formation may be required upon further <br />review in order to adequately address t e applica��'cri eYia `froval. If ou have an uestions about fillip out <br />p Y Y q g <br />this application, please contact Planning staff at the Permit and Informati Center, phone (541) 682-5377, 99 West 101n <br />Avenue, Eugene. CITY OF EUGENE <br />PLANNING DIVISION <br />List all Assessor's Map and Tax Lot numbers of the property included in the request. Proposals are required to include <br />all property under contiguous ownership of the applicant. <br />Assessor's Map <br />Tax Lot <br />Zoning <br />17- 0� - -2 7, <br />/00- <br />? — — -- <br />200 <br />Area of Request (square feet/acres): <br />Name of Subdivision: <br />Adjustment Requested? <br />.4 No ❑ Yes, section number(s): <br />1 , Z1` Number of Lots (to be created): �" L <br />9 (; _'KA <br />If Adjustment is for EC 9.8030(24) Source Control, submit a DAR form with stormwater analysis. <br />Subdivision, Tentative Plan Approval Criteria (check one): <br />❑ General ❑ Cluster Subdivision — General (EC 9.8055) <br />Housing/Clear and Objective (EC 9.8520) ❑ Subdivision of Manufactured Dwelling Park or Mobile Home Park <br />(ORS 92.835) <br />Is site included on acknowledged Statewide Goal 5 Inventory? <br />❑Yes -VNo ❑Uncertain <br />Commercial or Industrial Building(s) located on site? <br />❑ Yes -Submit a fourth copy of written statement <br />and set of site plans at the time of initial submittal. <br />4 <br />No ` v �, <br />I J\P lqll�' <br />www. eupene-or. go v/planning <br />Planning & Development Updated: December 2023 <br />Planning Division <br />99 W. 10T" Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planning@ci.eugene.or.us Page 1 of 6 <br />