Laserfiche WebLink
E <br />u L JUN 1 7 2013 :1,1 <br />PL a <br />Planning & <br />Development <br />Plan ning <br />ANNEXATION APPLICATION <br />City of Eugene <br />99 West 10 Avenue <br />Eugene, Oregon 97401 <br />(541) 682 -5377 <br />(541) 682 -5572 Fax <br />www.eugene- or.gov <br />Please complete the following application checklist. Note that additional information may be required upon <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 Planning staff 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 />- Assessorls•Map , <br />Tax =Lot <br />Zoning <br />Acreage <br />D <br />Water: <br />Sanitary Sewer: <br />1T Y O 6nl t <br />Fire: <br />A�lC �U ACS �l 2,t ESG (J <br />;Schools: , . <br />Elementary: SPG1�E� <br />Middle: ADIS�� <br />High:A� <br />/�[DRZT9 EIJ <br />Other: <br />Property Address: �Ry1 <br />Plans for Future Development & Permit Number (if applicable): 1 - L.a l S oa w 1, I/ D� <br />Public Service Districts: <br />Name, <br />' Parks: '­ <br />Electric:, <br />\VC <br />Water: <br />Sanitary Sewer: <br />1T Y O 6nl t <br />Fire: <br />A�lC �U ACS �l 2,t ESG (J <br />;Schools: , . <br />Elementary: SPG1�E� <br />Middle: ADIS�� <br />High:A� <br />/�[DRZT9 EIJ <br />Other: <br />Filing Fee <br />❑ A 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.eugeneplanningorg <br />Annexation Last Revised May, 2009 Page 1 of 4 <br />Application Form <br />