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ing & Development <br />001 City''~. of Eugene <br />STANDARDS REVIEW APPLICAV,,q E9 vest 1Oth Avenue <br />Water Resources /WR Overlay Zo>e gene, Oregon 97401 <br />~ j54'f) 682-5377 <br />"(541).682-5572 Fax <br />>4 4 <br />www eu ene-or gov <br />Please complete the following application checklist. Note tha~, addition~''information may be required after further <br />review in order to.adequately address the applicable approval crtera. If you have any questions about completing <br />this application, please contact Planning staff at the Permit and Information Center, phone (541) 682-5377, 99 West <br />10th Avenue, Eugene. <br />List all Assessor's Map and Tax Lot numbers of the property included in the development site. <br />Assessor's Map ~ Fax Lot <br />7041433 4002 <br />Zoning <br />(lnciu<le (hcrlay <br />7cmc) <br />- <br />-2, <br />10, 20, SR, WR <br />1 xisting Use <br />(c.~~ ~c~aut, residential <br />i <br />Open Space/Natural Area <br />Parkk <br />Lot ~~rea <br />17,769 sq.ft. <br />uest <br />Ff(eir(1 s the <br />this <br />)arccl? <br /> <br />YES <br />Site address(es): No site address; W off Nantucket Ave., east of NW Expressway <br />Development site total area (square feet/acres): (917,769sq ft / 21 acres) <br />Existing Use of Property: Public Park: Open Space / Natural Area <br />Proposed Use of Property: Public Park: Neighborhood Park with Open Space / Natural Area <br />List other related Land Use Application or Building Permit numbers: <br />Adjustment to /WR setback requested? ❑Yes ®No (Separate /WR Adjustment Review application <br />required) <br />Goal 5 Site(s) Name (e.g. E5013, Debrick Slough): E62(A), NW Expressway Ponds; E61(B) Middle Flat Creek <br />Resource type: ❑ Stream ❑ Wetland ® Both <br />Area of proposed development/disturbance within /WR conservation area (square feet/acres): 6,935 SF / <br />0.16acres disturbance <br />Filing Fee <br />05e Cc~.ke- 321 - G13 3 5 - <br />~r8 z-9' zsz <br />/WR Standards Review Application Form Last Revised: 1/2006 Pagel of 4 <br />