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Receipt PLANNER 9/1/2021
SPRINGFIELD City of Springfield the Development and Public Words -(� Transaction Receipt 225 Street 22 r F.� Record ID: 811-21-000237-TYP1 Springfield, OR 97477 541-726-3753 OREGON IVR Number: 811044810656 Fax: 541-726-3689 permltcenter@springrield-ocgov Receipt Number: 481128 Receipt Date: 911121 Mtp Owww.springnem-or govldpwlCunemoevelopmemofu5ion.hi Worksite address: 102 DEADMOND FERRY RD, Springfield, OR 97477 Parce1:1703140000900 Fees Paid Transaction Units Description Accountcode Fee amount Paid amount da[e 911121 1.00 Es Type l- Determination of 100-00000425002-1039 $199.00 $199.00 Non -Conforming Use Status, UGB 9/1121 1.00 Automatic Technology Fee 204-00000-425605-0000 $9.95 $995 Payment Method: Credit card Payed Lady Palanuk Payment Amount $208.95 authorization: 023452 Transaction Comment Lary Palanuk 102 Deadmond Ferry Rd. Springfield, Or 97477 Cashier: Shannon Monis Receipt Total: $206.95 Printed'. 91 2:19M Page 1 of 1 FIN TradectionRewiptyr