Planning & Development <br />a; Permit and Information Center <br />*Oeipt <br />99 West 10th Avenue <br />Eugene, Oregon 97401 <br />(541) 682-5086 <br />Method of Payment: <br />Received From T'a g o~c 5 S6 j <br />❑ Cash <br />Check <br />Address <br />❑ Visa/MC <br />CA P-DL, !5r-Ht 9 M <br />Phone ( ) 9 `fSf <br />Amount Received <br />Fs 2-3 SO co <br />Description/Reference Number: <br />CA-7 r,>2AL- PA•2. K._._. <br />li <br />i <br />N <br />App <br />cat <br />on <br />ame <br />Application Type C (mot Application # <br />~Uv/- <br />LAND PLAT <br />3300 Land Use Application ❑ 3310 Plat <br />(Final Plat) <br />'ost-Monumentation Payments must be made at 858 Pearl Street. <br />Date O 7z <br />Staff Initials " t✓ <br />CITY OF EUGENE <br />PERMIT & INFORMATION CENTER <br />OFFICE USE <br />'TIL: <br />LAND UK A i LK~AT ICis - 26 <br />CHARLES WEBER <br />RErElp -It 63°@64+7:i1@(CT.P <br />APR 0 8 2002 <br />NECEIVED <br />09000332 <br />