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# ~zoz3 <br /> pw~-~37 i <br /> City of Eugen INVOICE <br /> Permit and Informati n Center <br /> Eugene, OR 97401 (541) 682-5086 <br /> Site Address : Log Number 05- 06093- 01 <br /> Owner: <br /> H~~IN WILLARD 2611 ELIZABETH ST Cashier CXC <br /> 4215 JESSEN DR <br /> EUGENE OR 97402 Invoice Date 11/21/05 <br /> Phone: (541) 729- 662 Extension PDD/BPS <br /> Erosion Prevention Project Name: <br /> ~~GL Code ! _ Descri tion_ Amaun~ <br /> 15'x-4211-45226-00 -000000 Erosion Administrative Fee (8%) 64.80 <br /> 15~-4220-45590-00 -000000 Land Use Compatibility 60.00 <br /> 535-9323-42450-00 -000000 Erosion Prev -Commercial-New 1 acre 750.00 <br /> 53~-9323-42454-00 -000000 Erosion Prev - 12000 DEQ 50.00 <br /> i!! PWE/ Ginger erales / GJN 4339 Amount Due: 924.80 <br /> l~o ~7.(_h. r <br /> .lab No <br /> i Contr tdo <br /> Assessment? Y o O <br /> i ap rove this for p <br /> - <br /> _ - - - _l <br /> Qyestions concerni g this invoice? MAKE ALL CHECKS PAYABLE TO: <br /> <br /> C~II: Jeanne Gir udier City of Eugene <br /> (541) 682- 22 Finance Department <br /> PO Box 1967 <br /> Eugene, OR 97440 <br /> THANK YOU FOR YOUR BUSINESS! <br /> !Customer Co ~ PIC Co Finance Co <br /> ; Y PY pY <br /> Page 1 of 1 <br /> I <br /> <br />