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0 PLANNING RECEIPT <br />DATE 10/12/2018 <br />City of Eugene Planning <br />Method of Payment <br />Customer Information <br />❑ Cash <br />Name Mark Sebring/Sebring Construction <br />O Check <br />Address 461 Lindley Ln <br />❑ Visa/MC <br />Eugene OR 97401 <br />$ <br />Project 435 Lindley Ln <br />Amount Received <br />$5,155.70 <br />❑ City/Government Agency <br />a <br />Application Type mmmcanon concurmm <br />Qty Base Fee Discount <br />'dotal,; <br />Annexation <br />1 $ 4,730.00 <br />$ <br />4,730.00 <br />+her <br />her <br />$ <br />JDPGI <br />Subtotal App Fees <br />$ <br />4,730.00 <br />Subtotal Other Fees <br />$ <br />- <br />AdminFee lnol lncmdedanoppea6 a olherreesl <br />9% <br />$ <br />425.70 <br />Total <br />Staff Receiving Application <br />MHD <br />$ 5,155.70 <br />99 Wes' 1011 Avenue • [ugana, Clegon • 97401 • 541-682-5377 • eogenep:onning.org <br />