Y, <br />City of Eugene Planning <br />Method of Payment <br />❑ Cash <br />D Check <br />❑ Visa/MC <br />S <br />Amount Received <br />$4,422.68 <br />Ali 1(aonzype <br />l Appeal of HO Decision <br />3 <br />4 <br />6 <br />7 <br />_Other ~ <br />- <br />Appear-- <br />Appeal <br />Moditication Concurrent <br />Affected Neiah. Assoc. <br />Admin Fee (not included on appeals or other fees) <br />PLANNING RECEIPT <br />DATE 5/7/2018 <br />Customer Information <br />1 <br />Name Laurel Hill Valley Citizens <br />i <br />Address I <br />Project Appeal of PDT 17-1 <br />❑ City/Government Agency <br />Qty Base Fee Discount Total <br />a <br />