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A ^_A&_h " ANNEXATION <br />Planning <br />Please complete the following application checklist. Note that additional information may be required upon further <br />review in 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, 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 />D~f-2 - -3 D OD U L-338's . <br />Property Address:_JQUAilrid 0304'1100 Vf, A WCYd2Css )E1_85 iKS Oq UA(I1Vi_t <br />Plans for Future Development & Permit Number (if applicable):- rG~L,~{ ~ir2 P IAV1 i 5f010 hoMf, <br />Public Service Districts: <br />Name <br />Parks:i A~ rz.k Rnc~iDVt S 21. A2CS l~ <br />Electric:1A.4/2/ bM <br />Water:1A fA q.4124~C?i4i2 <br />Sanitary Sewer n~ YVA IZ-I ~0~12 <br />Fire:c. l Y 2 P6A ~ ke Ot al Gf <br />Schools:Elementary: RI VE2 Middle:High: <br />Other;S z. ~D <br />Filing Fee <br />pErt <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.euizenel)lanning.org <br />Written Statement (Submit 5 copies) <br />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 4 <br />Attachment C <br />November 25, 2019, Meeting – Item 2C