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c. Permits and land use fees <br />d. Sales of surplus land & equipment and land rental <br />e. HotellMotel taxes <br />f. Franchise fees <br />g. Other: Any other local money used for road and street purposes; specify by footnote the source <br />and the amount. <br />5. Recei is from other Local Governments: <br />a. From Cities: Funds collected by cities and due to counties for work on county roads. <br />b. From Counties: Receipts from the distribution of county road taxes or other funds for work on <br />city streets. <br />c. tither: Funds from urban renewal districts, road district, or other agency authorized to levy <br />taxes or assessments and that is not administered by the county or city, but is used for work on <br />county road or city street. <br />6. Proceeds From Sale of Bonds and Notes: <br />a. Bonds: Any general obligation bond issue of which the proceeds are used for roads, streets, <br />bridges, or related purposes. Include the portion of Bancrofted special assessments that are for <br />road and street improvements as described in special assessment receipts. <br />b. Notes and Endorsed warrants: Notes and warrants, issued to obtain funds for, or in payment <br />of, road and street projects. Endorsed warrants issued to contractors in payment for work <br />performed on special assessment improvement district proj ects to the extent that the work is <br />for road and street improvements. <br />B. PRIVATE CONTRIBUTIONS: Cash donations, transfer of real property, construction of facilities and services <br />rendered, such as engineering. <br />C. RECEIPTS FROM STATE GOVERNMENT: <br />Stake Hi way Fund_Ap~oonment: The monthly apportionment by the Oregon Department of <br />Transportation including the l % BicyclelPedestrian Path money included in the monthly <br />apportionment receipt to you. <br />Z. Special Coun Allotment: Payments from the Oregon Department of Transportation to qualifying <br />counties. ~ <br />3. State Hi wa Fund Exchan e Pro am: Payments received from the Oregon Department of <br />Transportation in exchange for allocated STP federal dollars. <br />4, aD4T Issued Permit Fees: Such as oversizeloverweight truck permit fees. <br />5. Ether State Hi way_Fund Grants: Specify by footnote the source of amount of each grant. Include <br />State Highway matching funds .for locally administered construction and bikeway projects. <br />d. State Forest :State Forestry sharing funds used for road and street. <br />7, tither State Funds: State revenue sharing funds or other state general funds used for road and street <br />purposes andlor purchase of goad or street equipment. Please specify source and amounts of each type <br />of receipt. Example is 4wEB. <br />aD4T Financial Services <br />~"irginia Barker X503} 986-391.0 <br />Page 3 of 9 <br />