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HomeMy WebLinkAboutReceipt APPLICANT 2/14/2008 - I SUBDIVISION POST MONUMENTATION DEPOSIT To The City of Spnngfield, Oregon Attached IS the post monumentatlon deposit for the .l-> c \.J E. (; s-nlTE.So SubdivIsion, which IS secunty for the setting of survey monuments as Identified on the plat of said subdivIsion "to be post monumented" after the completion of public Improvement construction The total amount of the deposit equals $2800 for the post monumentatlon fee plus $120 for each monument being post-monumented Said total IS G0 calculated as follows $2800 plus $120 X 3"L mons equals a total of $ ~ " 4-0 - I understand that the deposit will be refunded to me when 1 ) The lot corner, nght of way and centerline monuments that are shown on the above named subdivIsion as "to be post monumented" have been set, and an affidavit to that effect has been recorded with the Lane County Clerk or the affidavit document together with the recording fee has been submitted to the City Surveyor's Office, AND 2 ) A field Inspection has been completed by the City Surveyor's Office to venfy that all monuments have been set as shown on said subdivIsion plat, AND 3) The surveyor who set the monuments has notified the City Surveyor that he/she has been paid (ORS 92 065 (3)) OR The deposit will be used to pay the Surveyor who set the monuments In accordance with wntten Instructions which I will prOVide to the City Surveyor ~ -~ <' -;;:;:./ Developer ::; -) 4-<"'; title and/or company (If any) Date --------------------- (City staff use below thiS line) Deposit received by the City of Spnngfield In the amount of $ b) f.pL/-D, 00 ,j..J,:J /+ .,)008: ) Check number 5 Ie, ~ 0 (Staff-please make a copy of the check for Jon DnSCOlI) ~ sP /1 / .J.. By I I!)VA...L_ '~CL~ DateRecelved 2/1'//2401' I I Planner AL Date http//wwoNfastrnallfmlmalllPostMon Deposlldoc?MLS=MR ....4557"" 5MB-MF-SF=Date_1 SMR MI=4557 5MB-MF 1P=O SMR-PT= Ust=87654d121395f41ae 5MB-MF DR=2O"SMB-CF=26B09 SMR FM=3 UDm=49 UId= MSgnal=MR GetAtr3 Page 1 of 1 REVISED September 2004 BENSON DEVELOPMENT CO., LLC 940 HWY 99 N 688-8897 EUGENE, OR 97402 5690 Date2-J '1 -0 'I 96-505/1232 91 PaytotheC ~ I- " Order of , C.)Lo .......~~;:' ,.~.., j -S ,- ~ h" ~ J~ /;,_Jcfl .J ~j-4-7 I $ c ~ ':1 <:> <:J., ~ -S r.o( 'I II UMPQUA (1-866-486-7182) 8 A N Ie .; For Dc.) ~ oy ~ Dollars If- ::::-- I.LI _...__ 1 866-4UMPQUA I. ~ '-- ~ -- ---- ~ - M> .....- GU...RD.......SAFETY GREEN WOGN Date Received Planner AL ~J'I/;tJd/ I 1 22;; FIfth Street Spnngfield, Oregon 97477 541-726-3759 Phone ~iii .li CIty of Sprmgfield Official ReceIpt Development ServIces Department PublIc Works Department RECEIPT #, 2200800000000000211 Date 02/14/2008 3 12 17PM Job/Journal Number DescnptlOn Post MonumenlatlOn DeposIt - 6,640 0000 @ $1 0000 Payments Type of Payment Check PaId By BENSON DEVELOPMENT Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received Amount Due 6,64000 $6,640 00 Amount Paid KAL 5690 DOVE In Person ESTATES Payment Total $6,64000 $6,640 00 Date Received Planner AL Z//fPO(),f / cRccelotl Page I of I 2/14/2008