Eugene <br />PLANNING RECEIPT <br />DATE 12/4/2020 <br />City of Eugene Planning <br />Method of Payment <br />❑ Cash <br />❑ Check <br />E Visa/MC <br />Customer Information <br />Name Elliott Pelfrey <br />Address 2925 River Road S <br />Salem, OR 97302 <br />Project 18-04-04-12-00100 Vacation If Amount Received <br />$4,013.38 <br /># Application Type Modification Concurrent <br />1 Vacation - Unimproved Right-of-Way <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />Other <br />Other <br />Appeal <br />Appeal <br />Admen Fee (not included on appeals or other fees) <br />Qty Base Fee Discount Total <br />1 $ 3,682.00 $ 3,682.00 <br />Subtotal App Fees $ 3,682.00 <br />Subtotal Other Fees $ - <br />Subtotal Appeal Fees $ - <br />9% $ 331.38 <br />Total $ 4,013.38 <br />Staff Receiving Application <br />RAV <br />Building Permit Services • 99 West 10th Avenue • Eugene, Oregon • 97401 • 541-682-5377 <br />