City of Eugene Planning <br />Method of Payment <br />❑ Cash <br />❑ Check <br />❑ Credit/Debit Card <br />Amount Received <br />$897.07 <br />PLANNING INVOICE <br />DATE 5/15/2026 <br />'Customer Information <br />Name: Donald Nickell <br />Address: 33225 Craig Lp <br />Cottage Grove, OR <br />Project: PLA: 17-03-21-34-2200 &2300 <br /># <br />1 <br />ApplicattonType n�oaificat�on cocurrE rQiy <br />Property Line Adjustment <br />Base Fee = Discount = total <br />1 <br />$ 823.00 <br />$ <br />823.00 <br />2 <br />3_ <br />4 <br />_ <br />_5 <br />b <br />7 <br />8 <br />9 <br />Other <br />Other <br />Appeal <br />Appeal <br />Subtotal App Fees <br />$ <br />823.00 <br />Subtotal Other Fees <br />$ <br />- <br />Subtotal Appeal Fees <br />$ <br />- <br />Admin Fee (not included on appeals or other fees) 9% <br />$ <br />74.07 <br />Total <br />$ <br />897.07 <br />Staff Receiving Application <br />JTS <br />Building Permit Services • 99 West 1 Oth Avenue, Ste 290 • Eugene, Oregon • 97401 • 541-682-5377 <br />