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Map Information <br /> Provide 3 copies upon initial submittal. Following completeness review, submit 7 copies. <br /> <br /> A map indicating the property involved in the request and showing adjacent streets, alleys, etc. <br /> <br /> [] A vicinity map showing the general area of the request and indicating the specific property involved <br /> - in the request. <br /> <br /> Le~lal Des. crlPtio~n <br /> <br /> A legal description for each existing lot involved in the requested change. This description must be <br /> typed and suitable for recording. <br /> By signing, the undersigned certifies that he/she has read and understands the submittal requireme::nts <br /> outlined herein, and that he/she understands that omission of any listed item may cause delay in <br /> processing this application. I (We) the undersigned acknowledge that the information supplied in t,hls <br /> application is complete and accurate to the best of my (our) knowledge. <br /> <br />::~ PROPERTy OWNER <br /> Name (print): City of Eugene Phone: 682-5008 <br /> <br /> Address: 210 Cheshire Avenue <br /> City/State/Zip: Eugene, OR 97401 <br /> <br /> APPLICANT'S REPRESENTATIVE <br /> <br /> Name (print): Tcrri Harding, AiCP <br /> <br /> Company/Organization: Satre Associates, P-C. <br /> Address: 132 East Broadway, Suite 536 ' <br /> <br /> City/State/Zip: Eugene, OR 97401 : <br /> <br /> Phone: 465-472l Fax: 465-4722 <br /> <br /> E-mail (if applicable): tharding~satrepe,com <br /> Signature: ~ <br /> NOTE: This is ri. et a complete list of requirements. Addit~ag,~nformation may be required after further <br /> review, m order to adequately address the required criteria of approval. <br /> <br /> ~ ~hange Aloplication Form Last Revised: December 3 !, 2003 Page 2 of 2 <br /> <br /> <br />