Receipt 08-04-2014CITY OF CHANHASSEN
P O BOX 147
CHANHASSEN MN 55317
08/04/2014 2:30 PM
Receipt No. 00258357
CLERK: AshleyM
PAYEE: Jacobs
1700 Sherwin Ave
DesPlaines IL 60018-
2290 Lyman Blvd Planning Case 2014 -26
-------------------------------------------------------
Site Plan Review 500.00
Notification Sign 200.00
Filing Fees 50.00
GIS List 75.00
Conditional Use Permit 425.00
Total
Cash
Check 44127
Change
1,250.00
0.00
1,250.00
0.00
JACOBS 44127
City Of Chanhassen DES PLAINES, IL 60018
DATE
INVOICE DESCRIPTION
BALANCE DUE
PAYMENT
7 -29 -14
MIN HAZELTINE
1250.01
1250.00
CITY OF CHANHAM
RECEIVED
AU,; II 7014
Ot"ASSEN PLANNING DERV
CHECK
7 -29 -1
44127
TOTALS 1250.00
1250.00
DATE
NUMBER