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. <br /> ~ I Lane County Department of Public Works Receipt No 2103 <br /> 1 <br /> Facility Permit -Receipt of Payment <br /> t. <br /> Lane County Public Works <br /> 3040 N. Delta Hwy. <br /> ~ Eugene, OR 97408 <br /> (541) 682-6902 <br /> Permit 060641 Receipt Date 08/23/2006 <br /> Receipt For C OF EUGENE <br /> 8 8 PEARL ST <br /> E GENE, OR 97401 <br /> e~ Ir~~~ <br /> ethod of Paym nt Mastercard ~ ~ J?3~' <br /> Amount Paid $100.00 <br /> Items Paid Amount <br /> permit Fee Commercial Driveway $100.00 <br /> j Total $100.00 <br /> PUBLI i~IORK <br /> :~40 N DELip H V <br /> EUGENE. OR. 91408 163b <br /> iE~I~IIiIAL LD, ° NB24HBY <br /> h~~CHRffi ftl 950024491b <br /> iMC CARD <br /> ~~~~i;li~~6710 ~ <br /> S LE <br /> ~A1 H; 000511 IIIU; 000D01 <br /> Al ~ AUG 23. 0b 1II~IE: 0829 <br /> SUS CODES 123 raUIH. 842954 <br /> qUS ESPONSE: N <br /> FO AL g OO. df3 <br /> I~AGkEE 1g i~~,; ~~;r~UE IDIra gPIOUfff <br /> 0R0IfiE ,;pPi; rySt,ER R REEI9EN1 Thank you for your payment <br /> <br /> ~,~tR¢HRlli RGREEMENi IF CREDi I)DIICHERi <br /> CUSTOMER COPV <br /> <br />