<br />MIDDLE HOUSING LAND DIVISION, TENTATIVE PLAN <br /> <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 Page 1 of 5 <br /> <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 10th Avenue Suite 290, Eugene, OR 97401. <br /> <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 /> <br />Assessor’s Map Tax Lot Zoning Lot Area (square feet/acres) <br /> <br /> <br />Name of Middle Housing Land Division:_____________________________________________________________ <br />Existing Use on Property:__________________________________________________________________________ <br />Middle Housing Type (check one): 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 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 /> <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 />18030542 12200 R-1 9,257 SF <br />2438 Potter Street Middle Housing Land Division <br />SFR <br />■ <br />■ <br />■ <br />■