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li <br /> ~ ~ ~ <br /> <br /> J~' ~ ~ Planning 8~ Development <br /> Permit and Information Center <br /> Receipt 99 West 10th Avenue <br /> Eugene, Oregon 97401 <br /> (541)682-5086 <br /> Method of Payment: Received From L' <br /> ? Cash <br /> ? Check Address <br /> ? ~sa/MC <br /> cs('I~r Phone ( ) <br /> Amount Received <br /> f\ $ Qescr;ptlon/Reference Number: <br /> ~ 6~ , <br /> \ ~ ~ ~ ~ Application Name ~---1 of ~yG, ~-roc,, <br /> J <br /> Application Type . L/ N ~ ~J Application # <br /> LAND PLAT ~ <br /> 3300 Land Use Application ? 3310 Plat i <br /> (Final Plat) <br /> Post-Monumentation Payments must be made at 858 Pearl Street. <br /> i <br /> t <br /> Date ~ ~ 2 OFFICE USE <br /> J <br /> Staff Initials ~ <br /> <br />