HomeMy WebLinkAboutPermit Miscellaneous 1984-1-23
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CPR PROJECT
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Office Use Only, -, -. :
Control No. \ S \ 0 .
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Date: ~- ,
(Mal ling Address) (City) (Zip. Code)
Use separate form for each property 0; groups of contig~ous pro1Jties.
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REQUESTED ZONING FF Z-O
CHANGE REQUEST
SPECIFIC PROPERTY (j)
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Applicant Information
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(Name-Please Print)
2. Property for which change is requested.
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TAX LOT(S)
3. PROPOSED PLAN DESIGNATION
4. PROPOSED ZONING
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5. Reason. for request. Please refer to information sheet. If the change requires an exception to State Planning
Goals include necessary justification. Feel free to attach additional information.
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6.
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Interest in properlfy:
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(Signature)
7. DE.PARTMENT COMMENTS: "AV'etY..,.~ fHc:..~ U-f '0'-1
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8. PLANNING COMMISSION ACTION: 0 APPROVED
REMARKS:
o DENIED .
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DATE
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APPROVED I ~..,,' ENIED
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9. BOARD OF COMMISSIO~!ERS ACTION: D
REMARKS:
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Lane County will not be able to notify you~Of the outcome of your request. Accordingly it will be
your responsibility to follow the proceedi~gs to learn what action was taken thereon. If you have
any questions about this request please phore 687-4186 and ask to speak to someone on the CPR
PROJECT TEAM. :
Return completed forms to: CPR PROJECT, Department of Planning and Community Development
/ 125 East 8th Avenue
EUgene, OR 97401
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