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Attachment C <br />0 Planning ANNEXATION <br />Please cornplcte the following application checklist. Note that additional information relay be required upon further <br />review lin order to adequately address the applicable criteria for approval If you have any questions about filling out this <br />application, please contact Planning staff at the Permit and Information Center, phone (541)682-5377„ 99 West 10th <br />Avenue, Fuene, <br />List all Assessor's Map and Tax Lot numbers of the property included in the request. <br />. _...t_ orin <br />_�..._ <br />Assessor's 11�/lai ..�_ Tax lot. l <br />�_-_..�.._ Acreage -- <br />11 04-03 66170 It 1 9i 97 <br />-_. . -... <br />Property Address: 32.407 S Louis Ldne, Fugcgn+°„ {ltd 97105 <br />Plans for Future Development & Permit Number Cif applicable) <br />Public Service Districts: <br />f i in Fe"! <br />J A filing fee roust accompany alit application, The fee varies depending upon the type of application and is adjusted <br />periodically by the City Manager. er. Check with Planning staff at the Permit and Information Center to determine the <br />required fee or check website at wyvw etag nea Ian <br />Written State meirtt ar;rbemt 6 vpje.s <br />Submit a detafledl written statement describing how this request is consistent with all applicable criteria (Section <br />- 9.7875 of the Eugene Code),. <br />Nanning & Development Updated! l arcs 2014 <br />Planning Division <br />Nhonti,54'1 682 5377 or fi r�vau1 a� a�samr p�l�� lr�ir'�g���p,r �� c*K��e. �r.rr� Page I of 4 <br />