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Ali <br />City of Eugene Planning <br />Method of Payment <br />Cash <br />D Check <br />Visa/MC <br />Amount Received <br />5,155.70 <br />PLANNING RECEIPT <br />DATE 8/21/2018 <br />Customer Information <br />Name G Franklin Day or Mrs. Carol L Day <br />Address 795 Park Ave <br />Project 17-04-13-3-05200 <br />City/Government Agency <br />Application Type ModHication Concurrent ' Qty Base Fee Discount Total1, <br />1 <br />1 Annexation 1 $ 4,730.00 $ 4,730.00 <br />L <br />3 <br />A <br />5 <br />R. <br />9 <br />0 her <br />Other <br />A.ppea 1 $ - <br />Appeal <br />Admen Fee knot included on appeals or other fees) <br />Total <br />Staff Receiving Application <br />MHD <br />Subtotal App Fees $ 4,730.00 <br />Subtotal Other Fees $ - <br />9% $ 425.70 <br />5,155.70 <br />99 West 10th Avenue > Eugene, Oregon » 97,1101 « 541-682-5377 + eugenep!anning.org <br />November 13, 2018, Meeting - Item 3D