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Attachment C <br />Site Plan Reguirements <br />SubMit 3 loafer crap ieS and I digital copy of a sire plan, drawn to an engineer*s scale on 8 x 14 " sheet of paper, Site plans <br />shall include thefollowing information: <br />[K Show the date & north arrow on site plan. <br />Show the Assessor's Map and Tax Lot nurnber(s) on the site plan. <br />Show a vicinity map on the site plan (vicinity map does not need to be to scale). <br />Show city limits & UGB (if applicable) <br />Clearly label the affected territory and any public right of ways to be annexed. <br />Show all adjacent streets, alleys, and accessways. <br />Show all dimensions of existing public utility easements and any other areas restricting, use of the parcels, Such as <br />conservation areas, slope easements, access easements, etc. <br />Show the location of all existing strUCtu res. <br />Other Ai2plication Reguirements tSUbmit 3 paper copies and 1 digital copy of a/0, <br />Petition for Annexation form listing all owners, including partial owners, and electors. This form includes the <br />Certification of Electors which must be signed by the Lane County Elections/Voter Registration Department and also <br />includes the Verification (Certification) of Property Owners which must be signed by the Lane County Department of <br />Assessment and Taxation. This form is required even if the laird is vacant. <br />X Notarized Consent to Annexation form, <br />FX] A legal description of the land proposed for annexation, including any public right of way prepared by a registered <br />land surveyor. Oregon Revised Statues (ORS) 308.225 requires submittal of a closing metes and bounds description <br />or subdivision block and Vat number description. Please see example of acceptable legal descriptions contained in <br />the application packet. The legal description must exactly correspond with the map included with the application or <br />the Assessor's map. <br />[X] Summary of Urban Service Provision form. <br />Ix A county Assessor's cadastrM map. (available at Lane County Assessment & Taxation) <br />21 Census lnformation Sheet. <br />Note: This is not a complete list of requirements. Additional information may be required after further review in order <br />to adequately address the applicable approval criteria. <br />Planning & Development Update& March 2014 <br />Planning Division <br />99 W. 101" Avenue, Eugene, OR 97401 <br />Phone: 541-682.5377 orr E-mail:eugetiepl,anning@ci.eLigene.or,os Page 2 of 4 <br />