KA- 23 - S /CA 23-3 <br />AFFIDAVIT OF ELECTRONIC SUBMISSION OF NOTICE TO DLCD <br />I,1►MS%r"� F ,.fir Gam/ , hereby certify that I am an employee of the <br />City of Eugene. I further certify that on Z < / , 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 />❑ Revision <br />f Adoption <br />❑ Withdrawal/Denial <br />Dated this.y day of <br />[Emp4 ye Signature] <br />State of Oregon ) <br />) ss. <br />County of Lane ) <br />Signed and affirmed before me on by <br />i i A A 2 2 - �j . , Ak- - <br />STAMP <br />No Public for Or <br />KER TREVIZO My Commission Expires: <br />BLIC-OREGON <br />ON NO. 1004371 <br />*L- <br />OFFICIAL <br />PIRES OCTOBER 14, 2024 <br />