A rl� 0 JUN 2025 <br />WPlanning Cityof Eugene <br />planning Divisiy�; <br />� <br />TRAFFIC IMPACT ANALYSIS <br />Please complete the following application checklist. Note that additional information may be required after further <br />review in order to adequately address the applicable approval criteria. If you have any questions about completing this <br />application, please contact Planning staff at the Permit and Information Center, phone (541) 682-5377, 99 West 10th <br />Avenue, Eugene. <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 />17031643 <br />00104 <br />E-1 <br />Current site address(es): <br />3300 Chad Drive <br />Area of Request (acres/square feet): <br />Existing Use of Property: N/A <br />Proposed Use of Property: <br />6.67 acres <br />Clinic or other Medical Health Treatment Facility <br />Associated pending Land Use application or Building Permit numbers: <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 Center to <br />determine the required fee or check website: 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 statement, <br />site plans, etc.). Digital files must be in PDF file format. Please note that it is the applicant's responsibility to make sure <br />that the digital and paper copies are identical. Following completeness review, an updated digital and paper copies may <br />be required. All paper site plans must be folded to a size equal or less than 11" x 17". <br />Written Statement <br />FTI Submit a detailed written statement describing how this request is consistent with all applicable criteria (Section <br />9.8680 of the Eugene Code) and with Report Requirements (Section F) of Administrative Order No. 58-02-02-F. <br />An exception to any or all of the report content requirements listed in the "Standards for Traffic Impact <br />Analyses" for development that generate less than 100 trips in any peak hour may be granted if the applicant <br />demonstrates that the study is not necessary in order to demonstrate compliance with EC 9.8680. Applications <br />involving adjustments shall specifically address additional related criteria. Please note that it is the applicant's <br />responsibility to provide adequate information demonstrating how the project satisfies the applicable approval <br />criteria. Failure to provide such information may result in a denial of your application. <br />www eugene-or aov/plannina <br />Planning & Development Updated: May 2024 <br />Planning Division <br />99 W. 10T" Avenue Suite 290, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail: planning eugene-or.gov_ Page 1 of 4 <br />