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Attachment C - Application Materials <br />EUGENE;= <br />Planning & <br />Development <br />Planning <br />City of Eugene <br />ANNEXATION APPLICATION `(� 99 west lo Avenue <br />�Q�� Eugene, Oregon 97401 <br />(541) 682 -5377 <br />O �C (541) 682 5572 Fax <br />www.eugene - or.gov <br />Please complete the following application chec Ki t. t at additional information may be required upon <br />further review in order to adequately address the pplicable`�riteria for approval. If you have any questions <br />about filling out this application, please contact Plahvingstgff at the Permit and Information Center, phone <br />(541)682 -5377, 99 West 10 Avenue, Eugene. <br />List all Assessor's Map and Tax Lot numbers of the property included in the request. <br />Assessor"slMap <br />Tax Lot <br />Zoning <br />Acreage <br />ice- -o o <br />it UL� <br />5 <br />wiz R-1 i,1 <br />2D O <br />A�- <br />I u l <br />LDfL A4 Ins <br />X7.91 <br />SG <br />Property Address: <br />Plans for Future Development & Permit Number (if applicable): <br />Public Service Districts: <br />Filing Fee <br />filing fee must accompany all applications. The fee varies depending upon the type of application and is <br />adjusted periodically by the City Manager. Check with Planning staff at the Permit and Information Center to <br />determine the required fee or check website at www.eugeneplanning.org <br />Annexation Last Revised May, 2009 Page 1 of 4 <br />Application Form <br />