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<br />EXHIBIT 5 <br /> <br />c <br /> <br />CONDOMINIUM CONVERSION PERMIT APPLICATION <br /> <br />PROPERTY INFORMATION <br /> <br />1. Attach an accurate legal description of the property included in this permit <br />application. <br /> <br />2. Indicate the assessor's map(s) and tax lot(s) numbers of the property: <br /> <br />3. Indicate the project name and address: <br /> <br />4. Type of complex: (please check) <br /> <br />~ Single Family Detached <br />Townhouse <br />Apartment (elevator) <br /> <br />~ Row House <br />Apartment (walk-up) <br />Duplex <br /> <br />5. Number of units by bedroom size: <br /> <br />6. Number of structures in complex: <br /> <br />7. If apartment, number of stories in each structure: <br /> <br />8. In what year(s) was the complex built? <br /> <br />INFORMATION CONCERNING THIS REQUEST <br /> <br />This application must be accompanied by the following: <br /> <br />1. An affidavit of the applicant conforming to the requirements of Section <br />2.1 070( c) of the Eugene Code; <br /> <br />2. A Rental History Report; <br /> <br />3. A Tenant Survey Report affidavit; <br /> <br />4. An executed Tenant Assistance Plan (if applicable); <br /> <br />5. If necessary, proof of funding of a cash reserve account; and, <br /> <br />Exhibit 5: Condominium Conversion Permit Application <br /> <br />Page 1 of2 <br />