E <br />PLANNING :RECEIPT; <br />DATE 3/3/20.17 <br />Method of Payment <br />❑ Cash <br />❑ Check <br />R1 Visa/MC <br />;Amount Received <br />1$17,690.70 <br />Customer Information i <br />Name Thomas Dryer <br />f <br />Address 2995 Capital Drive <br />Eugene OR 97403 <br />Project Capital Hill PUT tentative <br />Application Type Modification conciment <br />qty Base Fee Discount <br />Total <br />F anned Unit DE . ii,, r t - tentative <br />5,765.00 <br />{ 15,765.00 <br />2 <br />P11C) nerdwellir, i <br />It isnn <br />A4~no. <br />3 <br /> <br />4 <br />7 <br />Fire Review Fee <br />1 Other <br />Other <br />Appeal <br />Appeal <br />Subtotal App Fees <br />$ 16,230.00 <br />µ <br />_ <br />Subtotal Other Fees <br />- <br />Ad min Fee (not included on appeals or other fees) <br />9% <br />$ 1,460.70 <br />Total <br />$ <br />17 <br />690.70 <br />, <br />I Staff Receiving Application i <br />JMHD <br />99 West 10th Avenue • Eugene, Oregon • 97401 • 541-682-5377 • eugeneplanning.org <br />