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Planning ~ Development <br /> 7i v ~ ~j LAND USE Building Permit Services <br /> 99 West 10th Avg uB _ : ~ r <br /> i~ <br /> ReCelpt Eugene, OR 974Q;~~N- ~ ' <br /> (541) 682-5377 ~ ~ ~ ~ ~ <br /> F.i> . <br /> Received ~ `a <br /> 11 Date: ~ Z-~ D From ~ ~i1e, <br /> /J ~ ` <br /> t <br /> Address ~ l ~1 f-(..~-~ <br /> ~J ~ Method of Payment: <br /> ~C?G ',~S ~~l' ? Cash - <br /> ? Check ' t _ <br /> ? Visa/M i_ ~ --~~1 <br /> /Ll~,y (h -I,~~~/ Amount Received Phone ( ) <br /> r C ~ , ~r~ Project ~.:#t..~c.~c~ -c~~ ~#--._.J~-~ <br /> C G I,CL~) ,r Enter amount: <br /> ~ Adjustment Review Photocopies <br /> ~ w~Y1 n s ~ ~ $ (see rate sheet) $ <br /> 1 Appeal Maintenance Easement <br /> 4~~j~o ~Ce Gz.~Od w 7-_ Agreement Review <br /> - (hourly charge) <br /> G ~i ~v,~ ~ $ not part of a building permit $ <br /> ~"J and Use C,~ Traffic Impact Analysis <br /> Compatibi ~ /DMV $ $ <br /> <br /> ~Q~~ ~ Q s . <br /> Civil Penalties-(fee varies) Variances <br /> Nuisance Tree &Zonin $ Zonin , Si n, Noise $ <br /> rj ~ ~ e- Civil Penalties- Sign Zoning Verification <br /> (fee varies) (hourly charge) <br /> ~ $ 1/2 hr. minimum charge $ <br /> Other <br /> C~~c ~ $ <br /> $ <br /> Administrative Fee Z.b <br /> exce t a ea/s $ ~ ' <br /> Staff Initials $ <br /> u~~ted: voa <br /> ~ <br /> 1 <br /> <br />