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Receipt PLANNER 10/27/2010
. . www.ci:springfield.or.us TRANSACTION RECEIPT PRMT10-00005 415 S A ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541.726-3753 permitcenler@ci.springfieJd.or.us RECEIPT NO: 374718 RECORD NO: PRMTIO-00005 DATE: 10/27/2010 IQESC RiitTIl::lr\i:co;-,:,,; ~ii!7i;;, ~::'~;; " ~".0.,,: "';;i;;:v';,..~t,' _ ,'. ~rh ,i:,' :8G_c_6_u.Ntl~QriE>" ',;,:: '.'AOOQl:J ~n:Q.u-,{ 5% Technology Fee 100-00000-425605 $14.05 Land Use Compatibility Statements (LUCS/DEC) - City 100-00000-425002 $281.00 TOTAL DUE: $295.05 1,.,,'AvMElin.T,YF1E, ~0:~ee,Y.9R\--~ -, CAS~rER"tMirLEf(' '.i' ~(;P!VII'/I~[IS~;'! ,0'f~ : Jb ~.:, i,"':''CKI'/I.9J!NiIJ'A1D . :';;-'\.: 'I Check 065460 Lane education Service Dist 1200 Hwy 99 North Eugene OR 97402 $295.05 $295.05 Date Received: OCT 2 7 2010 Original Submittal