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<br />Map Information <br />Provide 3 copies upon initial submittal. Following completeness review, submit 7 copies. <br /> <br />o A map indicating the property involved in the request and showing adjacent streets, alleys, etc. <br /> <br />121 A vicinity map showing the general area of the request and indicating the specific property involved <br />in the request. <br /> <br />Le!!al Description <br /> <br />o A legal description for each existing lot involved in the requested change. This description must be <br />typed and suitable for recording. <br /> <br />By signing, tbe undersigned certifies that he/she has read and understands the submittal requirements <br />outlirted herein, and that he/she understands that omi};sion of any listed item may cause delay in <br />processing this application. I (We) the undersigned acknowledge that the information supplied in this <br />application is complete and accurate to the best of my (our) knowledge. <br /> <br />(nV~TER (Also the Applicant? 0 Yes I D No): <br />Name (print): Oregon West Managemer~t, LLC (Steve Graves) <br />Address: 1310 Co burg Road, Suite 1-B <br />City/State/Zip: Eugene, Oregon, 97401 <br /> <br />Phone: (541) 687-5653 <br /> <br />Signature: <br /> <br />it <br />//.)~ <br />~ <br /> <br />APPLICMi'D / APPLICANT'S REPRF~SEl'l'TATIVE El (Check one): <br />Name (print): Michael Howard <br /> <br />Company/Organization: Satre Associates, PC <br />Address: 132 East Broadway, Suite 536 <br /> <br />Cit~~_tate!Zip: Eugene, Oreg?_'!.: 97401_ <br />Phone: (541)465.4721 Fax: (541) 465.4722 <br />Signah;re ~+~ <br /> <br />I NOTE: This is not a cOn1plete list of requirements. Additional information may be required after further <br />I review, in order to adequately address the required criteria of approval. <br /> <br />email: m.howard@satrepc.com <br /> <br />Zone Change Application Form <br /> <br />Last Revised: 12/2003 <br /> <br />Page 2 of2 <br />