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Receipt PLANNER 9/28/2021
SPRINGFIELD City of Springfield Development and Public Warks Transaction Receipt 225 Fifth Street Record ID: 811-21.000254-TYP2 Springfield, OR 9]47] 541-726-3753 OREGON IVR Number: 811070683774 Fax: 541-726-3689 permitcenter@springfieid-or.gov Receipt Number: 481451 Receipt Date: 9128121 hap://w.wv.apnngfieId-or.gov/dp 1CunentcevelopmentDlrsion hon Worksite address: 5642 AST, Springfield, OR 97478 Parml:1702334101704 Fees Paid Transaction Units Description Account code Fee amount Paid amount date 9128/21 1.00 Lots Type ll- Subdivision -LDR Tentative 100-00000.425002-1039 $8,304.00 $8,304.00 Plan - < 2 Acress, per lot 928/21 1.00 Ea Type ll- Subdivision -LDR Tentative 100-00000-425505-1039 $193.00 $193.00 Plan- Postage 9128121 100 Automatic Technology Fee 204-00000425605-0000 $415.20 $415.20 Payment Method: Check number: 1002 Payer: Five Doves LLC PaymentAmount: $8,912.20 Transaction Comment: Five Doves LLC 940 Hwy 99 N Eugene, Or 9]402-2009 Cashier: Shannon Morris Receipt Total: $8,912.20 Pnnted: 9128121 3:06 pm Page 1 of 1 FIN_ Tmnsaolionrieceipt ar