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'05/i2 2008 xON ia: i FAx 5ai 682 8500 LANE CO Pw X002/005 <br /> Lane Coun De a m t rk Recei t No 2831 <br /> ty p rt en of Publ:c Wo s p <br /> ~ Facility Permit -Receipt of Payment <br /> S ` 'r. i ' <br /> ` Lane County Public Works <br /> 3040 N. Delta Mwy. <br /> Eugene, OR 97408 <br /> (541) 682-6902 <br /> errnit OSOZ26 Receipt Date o5///12/Z0o8 <br /> e~eipt For C OF EUGENE ~'I~ J~~ , <br /> 8 8 PEARL ST <br /> Cf Li~G 1G~ - <br /> E GENE, OR 97401 'A' - <br /> V11~ <br /> ethod of Paym nt Mastercard <br /> Amaunt Paid $70.00 ~ <br /> items Paid Amount <br /> Permit Charge Additional fee costs $70,00 I <br /> Total $70.00 <br /> LANE COUIIIY PUBLIC IRK <br /> SHERRY 541-66P-6916 <br /> EUGENE. OR. 97408-1636 <br /> 1'ERI~NAL I,J,: OB173400BU95B014491692 <br /> HERCNANi R: 958@2449)6 <br /> ~ PCARl1 <br /> ####~Mi'#6118 # <br /> SALE <br /> ' RECORD N: 5 IHU~ 800805 <br /> dp1E: NAV 11r 0B rIFf; 1430 <br /> BarCH~ 915 <br /> aurH; a73Y52 <br /> AUS RESPOIISE: N <br /> IIO ha1CN OH aODRESS l1R TIP <br /> YorAL ~~©.oe <br /> I aGREE Ta Pav peOUE 10TAL ahbullr <br /> aCCORDIH6 i0 CARD ISSUER aGREEPEIIi <br /> fNERCNaNi pGREEl~Ni IF CREDIT VOUCHER) <br /> CU5i0,~R COPY Thank you for your payment <br /> <br /> ' C~31 ~ ~~I -3 ~~~J~~ <br /> <br />