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~ Planning & Development <br /> Planning <br /> City of Eugene <br /> 99 West 10th Avenue <br /> Eugene, Oregon 97401 <br /> (54,1) 682-5377 <br /> ZONE CHANGE APPLICATION (541) 682-5572 FAX <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) 682-537?, 99 West l0th Avenue,~.Eugene. <br /> List all Assessor's Map and Tax Lot numbers of the property included in the request. Plea;e indicate <br /> if only a portion of a lot is included in the request and include any additional map and taX:Iht numbers <br /> for subject property. Also, include existing and proposed overlay zoning. <br /> <br /> Assessor's Map Tax Lot Existing Zonin~ Proposed Zoaing <br /> t7-04-25-2 t 7404 R-1 HHistoric <br /> <br /> Street Address (if available): 370 River Road <br /> Existing Use(s) of the Property: Antique Store <br /> Proposed Use(s) of the Property: Antique Store and Tea Room <br /> Acres: .20 <br /> <br /> Is this zone chan~e being reviewed concurrently with another land use application? <br /> ~l Yes, a~Plication file number: CA 04- [--]No <br /> <br /> Filing Fee <br /> <br />[] A filing fee must accompany all applications. The fee varies depending upon the type of application <br /> and is adjusted periodically by the City Manager. Check with Planning staff at the Permit and <br /> Information Center to determine the required fee or check website <br /> www.ci.eugene or. us/PDD/Planning/PERMITS.htm <br /> <br /> Written Statement <br /> Provide 3 copies upon initial ,s'ubmittal. Following completeness review, submit 7 copies. <br /> <br /> A written statement demonstrating how the requested change satisfies the criteria in the Eugene <br /> Code, Section 9.8865. A list of the criteria is available at the Eugene Permit and Information Center, <br /> 99 West 10th Avenue. ?[ease note: it is the applicant's responsibility to provide adequate <br /> in/brmation demonstrating how the proposal satisfies the applicable criteria. Faihtre to provide such <br /> intbrmation may result m at denial of your application. <br />[Zone Change/\pplication Form Last P, evised: December 31,2003 Page I of'2 <br /> <br /> 17 <br /> <br /> <br />