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Receipt PLANNER 3/9/2022
SPRINGFIELD Cary of Springfield Development and Public Works Transaction Receipt 225 Fifth street Record ID: 811.22 -000063 -PRE Springfield, OR 97477 OREGON 541-726-3753 PiR Number: 811098210125 Fax: 541-726-3689 permitcenter@springfield-or.gov Receipt Number: 483201 Receipt Date: 3/8122 htlp:lfw,sydn90eldorgov/dpw/Curren0evelopmentoivsionhtm Worksite address: 3654 KATHRYN AVE, Springfield, OR 97478 Parcel: 1702304306401 Fees Paid Transaction Units Description Account code Fee amount Paid amount date 3/8/22 1.00 Ea Development Issues Meeting - City& 100-00000425002-1039 $646.00 $646.00 UGB Payment Method: Check number 1045 Payer: Carver Family LLC Payment Amount $646.00 Transaction Comment: 112 Timson Drive Folsom, CA 95630 Cashier: Drew Larson Receipt Total: $646.00 Printed 318122 1204 pm Page 1 of 1 FIN _Trarsadier Receiptyr