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Receipt PLANNER 10/30/2020
SPRINGFIELD City of Springfield Development and public Works Transaction Receipt 225 Fifth street Record ID: 811-20-000207-TYP4 spnnyfiem, OR 97477 541-726-3753 OREGON IVR Number: 811068594769 Fax: 541-726-3689 permitcenter@spdngfield-or.gov Receipt Number: 476880 Receipt Date: 10130120 him:lM .spdngneldargO )dpwrcurmn0evempmenDivsion.Mm Worksite address: 4362 JASPER RD, Springfield, OR 97478 Parcel: 1802052406700 Printed 1013012010'.04 am Page 1 of 1 FIN _TrermetlionRae ipt_pr Fees Paid Transaction Units Description Account code Fee amount Paid amount date 10/30120 1,00 Ea Type IV - Postage fee for all 100-00000425505-1039 $648.00 $648.00 10/30120 334.00 Amount Type IV- Annexation, special district 100-00000-425002-1039 $334.00 $334.00 boundary adjustmentslwithtlrawals 10/30/20 1.00Acre UGB Only- Comprehensive Planning 100-00000-425002-1039 $4,077.98 $4,077.98 fee, per acre 10/30/20 1.00 Ea Type IV- Annexation, 1 acre>5acres 100-00000-425002-1039 $3,34D.00 $3,340.00 10/30/20 1.00 Automatic Technology Fee 204-00000425605-0000 $387.60 $387.60 Payment Method: Check number: 1021 Payer: Jasper Road LLC Payment Amount: $8,787M Transaction Comment: Jasper Road LLC 520 Conger Street Eugene, Or 97402 Cashier: Drew Larson Receipt Total: $8,787.58 Printed 1013012010'.04 am Page 1 of 1 FIN _TrermetlionRae ipt_pr