HomeMy WebLinkAboutRECEIPT - 04-00173 - 1098 Golden Beauty Dr - CUP for AmericInn Freestanding SignI In 01
IZI XB IRC
•••, • " City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
Receipt Number: 100000000088
Receipt Date: 0511112004 CashietGATHYW Payer/Payee Name: GOLDEN BEAUTY HOSPITILITY
Permit#
Fee Description
Tran
Code
Original Fee
Amount
Amount Fe
Paid Balance
0400173
Conditional Use Permit
01-322.20
$ 250.00
$ 250.00 $0.00
0400173
Public Hearing Notice Fee
01-322.20
$ 200.00
$ 200.00 $0.00
Total:
$ 450.00
Previous Payment History
Receipt#
Receipt Date
Fee Description
Amount Paid
Permit#
Payment
Check
Payments
Method
Number
Amount
CHECK
16455
$ 450.00
Total
$ 450.00
Page 1 of 1
No. 1((3(
IDAHO BUSINESS FORMS. 1& 6,214% RECD BY
0350
CITY OF REXBURG
12 N. CENTER
REXBURG, IDAHO 83440
CITY OF REXBURG
12 N. CENTER
REXBURG, IDAHO 83440
ACCOUNT
��"
DATE
4
DATE
-/9-0
NAME
ADDRESS
ADDRESS
ACCOUNT
ACCOUNT
AMOUNT
DESCRIPTION
AMOUNT
ano im
I
I
I
I
I
I
I
I
I
I
I
I
THANK YOU - PLEASE KEEP
THIS RECEIPT
THANK YOU - PLEASE KEEP
THIS RECEIPT
TOTAL
I
No. 1((3(
IDAHO BUSINESS FORMS. 1& 6,214% RECD BY
0350
CITY OF REXBURG
12 N. CENTER
REXBURG, IDAHO 83440
ACCOUNT
0I-za
DATE
4
NAME
U
ADDRESS
ACCOUNT
DESCRIPTION
AMOUNT
-aaa
U to
ano im
I
I
I
I
THANK YOU - PLEASE KEEP
THIS RECEIPT
TOTAL
No. i IbJ;3✓
IDAHO BNSINE.0 EOR. .Iewnax-I45e RECD BY Q!-'mk�
40M