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J ~ ~~~~V~ 1 G~ Planning & Development <br /> <br /> ~ L~w'D ~SE Building Permit Services <br /> ,y G 99 West 10th Avenue <br /> ReCelpt Y~~ N ~ Eugene, OR 97401 <br /> l t N (541) 682-5377 <br /> <br /> ' V l.L~ <br /> Fromlved /~I.~ OF ~U6~N~ <br /> Date: ~ '~/O~ <br /> ~o~I~S ~ aP~N SP~c,E <br /> Address <br /> - Method of Payment: ~j ,~~1 <br /> ? Cash 2 ~ UZU 12~~S~U~7 QWt~ <br /> O_ ~r~ <br /> ? V sa/MC ~ ~ Z.l/6~~ ~7~~ <br /> 6i qtr ~v ~Z ~.~2 <br /> • Amount Received Phone nn~~ <br /> $ ~ ~ Z~ Project ~ 7 dy'2J -W ` Q~S ~ <br /> ' ~ Enter amount: _ _ <br /> Adjustment Review Photocopies <br /> $ (see rate sheet) $ <br /> • Appeal Maintenance Easement <br /> Agreement Review <br /> (hourly charge) <br /> $ not part of a building permit $ <br /> Land Use Q~ Traffic Impact Analysis <br /> Compatibility/DMV $ <br /> Civil Penalties-(fee varies) ~ Variances <br /> Nuisance, Tree, & Zoning $ (Zoning, Sign, Noise) $ <br /> Civil Penalties- Sign Zoning Verification <br /> (fee varies) (hourly charge) <br /> $ 9/2 hr. minimum charge $ <br /> Other <br /> ~ G ~d <br /> ~ „s~~~; i <br /> Administrative Fee ~ Zd <br /> (except appeals) $ <br /> ~a g? w <br /> II <br /> Staff Initials ~ , <br /> Updated: 1/OS • <br /> Ol i - ~~-~-r - ~5~ v <br /> <br />