CA t;S-o2(t-A-vs [ -?,- z.;'- 0 3 <br />AFFIDAVIT OF ELECTRONIC SUBMISSION OF NOTICE TO DLCD <br />I, 5 , hereby certify that I am an employee of the <br />City of Eugene. I further certify that on%���� , 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— �,vA ve rs� o^- <br />❑ Adoption <br />❑ Withdrawal/Denial <br />Dated this �_ day of <br />j4zk;A_� <br />IVE00yee Signature) <br />State of Oregon ) <br />ss. <br />County of Lane ) <br />Signed and affirmed before me on 0) / 1.0 As- by <br />VoI54-Atl r_11rC,4ar <br />OFFICIAL STAMP <br />SA"!�A JOANN WILDE-PICKENS <br />I*my <br />tOTARY PUBLIC - OREGON <br />comm1SSi0N No. 1040375 <br />CCM,AiS� CN ;XP+RES SEPTEMBER 07, 20V <br />Notary Public for Oregon 0) 1L <br />y Commission Expires. <br />