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2. Application Form <br />RED zn <br />ANNE ATION <br />JUL % t a18 JUL [Go ?01 <br />Please complete the Poll wing appl=fr ClinkHa. Note that additional in prmation may be required upon fu her <br />review in order to adequ applicable criteria for approval. you have any questions about filli gout this <br />application, please contact Planning staff at the Permit and Information Center, phone (541)682-5377, 99 West 10th <br />Avenue, Eugene. <br />List all Assessor's Map and Tax Lot numbers of the property included in the request. <br />Assessor's Map Tax Lot Zoning Acreage <br />17-03-28-40 1401 AG 1.55 <br />17-03-28-40 1402 AG 0.88 <br />Property Address: Property (1) - 1 Chevy Chase Lane, Eugene, OR: Property (2) - 2 Chevy Chase Lane, Eugene, OR <br />Plans for Future Development & Permit Number (if applicable): No plans currently available. <br />Public Service Districts: <br />Name <br />Parks:Willakenzie Planning Area <br />Electric:EWEB <br />Water:EWEB <br />Sanitary Sewer City of Eugene <br />Fire:Willakenzie RFPD <br />Schools:Elementary: Holt Middle: Monroe High: Sheldon <br />Other:School District: Eugene 4J <br />Filing Fee <br />A filing fee must accompany all applications. The fee varies depending upon the type of application and is adjusted <br />periodically by the City Manager. Check with Planning staff at the Permit and Information Center to determine the <br />required fee or check website at www.eugeneplanning.org <br />Written Statement (Submit 5 copies) <br />x Submit a detailed written statement describing how this request is consistent with all applicable criteria (Section <br />9.7825 of the Eugene Code). <br />Planning & Development Updated: December 2016 <br />Planning Division <br />99 W. 10TH Avenue, Eugene, OR 97401 <br />Phone: 541.682.5377 or E-mail:eugeneplanning@ci.eugene.or.us Page 1 of 4September 10, 2018, Meeting - Item 2D