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<br />~' <br /> <br />Written Statement m Submit 3 copies <br /> <br />EI A \vritten statement demonstrating that the requested amendment satisfies the criteria found in the Eugene <br />Code Section 9.8424. Describe any un~hanged portions of the refmement plan which your amendment may <br />affect. <br /> <br />o For text changes, a written example of the proposed text change. TIlis should be specific and site the page(s) <br />the change applies to. <br /> <br />Information Required for a Proposed Plan nia!!ram Chall!!:e ~ Submit 3 copies <br /> <br />o A map indicating the property included in the request and adjacent streets and alleys. <br /> <br />o A vicinity map indicating the general area of the amendment and allowing easy identification of the <br />propcliy. <br /> <br />EJ A. map indicating the existi.ng plan diagram boundaries and the proposed plan diagram boundaries. <br /> <br />Note: This is not a complete list of requirement.... Additional information may be required after further <br />review in order to adequately address the required criteria of approval. <br /> <br />By signing, the undersigned certifies that he/she has read and understands tIle submittal requirements <br />outlined herein, and tbat be/sbe understands tbat omission ()f any listed item may cause delay in <br />processing this application. I (We) tbe undersigned acknowledge that the information supplied in this <br />application is complete and accurate to the best of my (our) knowledge. <br /> <br />OWNER (Also the Applicant? 0 Yes /0 No): <br />Name (print): Oregon West Management, LLC (~~_~~_Graves) <br /> <br />Phone: (541) 687-5653 <br /> <br />Address: 1310 Coburg Road, Suite 1-8 <br /> <br />C. /S 'Z' Eugene, Oregon, 97401 <br />1ty L tatel .,1P: <br /> <br />Signature: <br /> <br />I~ <br />I <br /> <br />AP.PLICANTD / APPUCANT'S REPRESENTATIVE EJ (Check one): <br />Name (print): Michael Howard <br />Company/Organization: Satre Associates, PC <br /> <br />Address: 132 East Broadway, Suite 536 <br /> <br />City/State/Zip: Eugene, Oregon, 97401 .. <br />Phone: (541) 465.4721 Fax: (541) 465.4722 email: m.howard@satrepc.com <br />Sigt1ature ~~ .(L <br /> <br />Refinement Plan Amendment <br /> <br />Last Updated: 7/2004 <br /> <br />Page 2 of2 <br />