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City of Eugene Plannif <br />Method of Payment <br />C Cash <br />O Check <br />O Visa/MC <br />Amount Received <br />5,155.70 <br />RECEIPT <br />DATE 9/9/2019 <br />Customer Information <br />Name Elizabeth Steinhouse <br />Address 3660 Sisters View Ave <br />Eugene, OR 97401 <br />Project 830 Willow <br />City/Government Agency <br />Application Type Modification concurrent Qty Base Fee Discount Total <br />1 Annexation 1 $ 4,730.00 $ 4,730.00 <br />2 <br />Admin Fee (not included on appeals or other fees) <br />Total <br />Staff Receiving Application <br />ABM <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 • 97401 • 541-682-5377 • eugeneplanning.org <br />Attachment C <br />November 25, 2019, Meeting – Item 2C