Laserfiche WebLink
ATTACHMENT A <br /> <br /> ~ Planning & Development <br /> P[anning <br /> <br /> City of Eugene <br /> 99 West I0u~ Avenue <br /> Eugene, Oregon 97401 <br /> (541) 682-5377 <br /> ZONE CHANGE APPLICATION (54 ) 682.ss72 <br /> <br /> Please complete the following application checklist. Note that additional reformation may be requiJ:ed ui~on <br /> further review in order to adequately address the applicable criteria for approval; If you have any questions <br /> about filling out this application, please contact PlannLng staff at the Permit and Information Center, phone " <br /> (541) 682-5377, 99 West l0th Avenue, Eugene. . .. <br /> <br /> List all Assessor's Map and Tax Lot numbers of the property included in thc request. Please indicate '~ <br /> if only a portion of a lot is included in the request and include any additional map and tax lot numbers <br /> for subject property. Also, include existing and proposed overlay zoning. ~ ' · - <br /> <br /> Assessor's M.ap' Tax Lot Existing Zoning _ _Proposed Zen_lng <br /> 17-03-3 1-24 9200 R-2/R-3 HHistoric <br /> <br /> Street Address (if available): 996 Jefferson' <br /> <br /> Existing Use(s) of the Property: Senior Services <br /> <br /> Proposed Use(s)of the Property: Senior Services/other uses per proposed Special Area Zone <br /> Acres: .73 <br /> <br /> Is this zone cha[k~e being reviewed concurrently with another lmtd use application? <br /> <br /> · [~ Yes, application file number: CA 04- [~No' <br /> <br /> Filing Fee <br /> <br />[] A filing fee must accompany all applications, Thc fee varies depending upon the type of apPlication <br /> and is adjusted periodically by the City Manager. Check with Plannh~g staff at the Perrr~t ,and <br /> Information Center to determine the required fee or check website <br /> www.ci.eugene:or, usfPDD/Planning/PERMITS,htm <br /> <br /> Written Statement <br />Provide 3 copies upon initial submittal. Following completeness review, submit 7 Copies. <br /> <br /> A written statement demonstrating how the requested chm~ge satisfies the criteria in the Eugene <br /> Code, Section 9.8865. A list of the criteria is available at the Eugene Permit and hfformation Center, <br /> 99 West I0th Avenue. Please note: it is ttte applicant's responsibility to provide adequate <br /> information demonstrating how the proposal satisfies the applicable criteria. FaiIure to provide such <br /> information may result in a denial of your application. <br />IZone Change Application Form Last Revised: December 31, 2003 Page 1 of 2 <br /> <br /> <br />