City of Eugene Planning <br />Method of Payment <br />❑ Cash <br />❑ Check <br />❑ Credit/Debit Card <br />Amount Received <br />$5,155.70 <br />PLANNING INVOICE <br />DATE 5/30/2025 <br />'Customer Information <br />Name: Brandon Colby <br />Address: 310 Azalea Dr <br />Eugene, OR <br />Project: Annexation <br /># Application Type Modification concurre Qty Base Fee ` Discount Total <br />l Annexation 1 $ 4,730.00 $ 4,730.00 <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 />Subtotal App Fees $ 4,730.00 <br />Subtotal Other Fees $ - <br />Subtotal Appeal Fees $ - <br />Admin Fee (not included on oppeols or other fees) 9% $ 425.70 <br />Total $ 5,155.70 <br />Staff Receiving Application <br />JTS <br />Building Permit Services • 99 West 10th Avenue, Ste 290 • Eugene, Oregon • 97401 • 541-682-5377 <br />