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<br />Written Statement <br /> <br />o A written statement listing relevant Statewide Planning Goals and demonstrating that the requested change <br />satisfies the approval criteria in the Eugene Code, Section 9.7730(3). Describe any lillchanged portion of the <br />plan your a....nendment may effect <br /> <br />Information ReQuired for Proposed })Ian Text Chane:es <br /> <br />o Map indicating the property included in the reque..,>t and adjacent streets and alleys. <br /> <br />o Vicinity map indicating the general area and allowing easy identification of the property. <br /> <br />No'~"""""" This is 00' a eomplete"ii" of requirements~Addi'ional informatio-;;"";;;.y be reqnired aiie~~ <br />further .-eview in order to adc(luately address the rcquired criteria of approval. <br /> <br />By signing~ thc undersigned certifies that belsbe has read and understands the submittal requirements <br />. outlined herein, and that he/she undcrstands that omission of any listed item may cause delay in <br />processing this application. } (We) tbe undersigned acknowledge dlat the information SUI)plied in this <br />application is complete and accurate to the best of my (our) knowledge. <br /> <br />OWNER (Also tbe Applicant? 0 Yes /0 No): <br />Name (print): Oregon West Management, LLC (Steve Graves) <br />1310 Coburg Road,Suite1-B <br /> <br />Phone: (541) 687-5653 <br /> <br />Address: <br /> <br />City/State/Zip: <br /> <br />Eugene, Oregon, 97401 <br /> <br />/ir\!t~ <br />/' <br /> <br />Signature: <br /> <br />APPLICANTD / APPLlCA..1Vf'S REPRESEl\il A TIVE 0 (Check one): <br />Name (print): . Michael Howard <br /> <br />Company/Organization: Satre Associates, PC <br /> <br />Address: 132 East Broadway, Suite 536 <br /> <br />City/State/Zip: Eugene, Oregon, 97401 <br /> <br />Phone: (541) 465.4721 Fax: (541) 465.4722 email: m .howard@satrepc.com <br /> <br />Signature:.~~Q. <br /> <br />Note: . This is not a complete list of requirements. Additional information may be required after further <br />review in order to adequately address the applicable approval criteria. <br /> <br />Metropolitan Plan Amendment <br /> <br />Last Updated: 7/2004 <br /> <br />Page 2 of2 <br />