Laserfiche WebLink
/ <br />�'�� � EN�IIVEERIN�/PUBLI`CSE'R(�'G'ESD,EPA�TMFIVT <br />EVF Frr <br />_ `� ►��I I �G C�t � <br />COS� EST�M,d�TE FOR PERMIII� I�EE CALCUILAT�ON <br />April 20i4 . <br />Da�e: <br />Public Works Permi� No.: { i�V f�, �—p, 3 <br />PRO�ECT NAME: � <V,C, C. �(";uF+-�i� r.,���,�-�� '-�j[� �ur.�.�r�;� ,�+e�u�, <br />r_.c���.r�o��t _ i�o �>� G,�,� ���, � l�.�.�k�� ����-,�;� �,�� <br />DEVELQPER: �n � �-��,��1� <br />Name: ito� 1�:��1�,��x,;� <br />�Address (2��, -�;�,1 �� S��,t� r..�� <br />City/State/Zip. ��w�,�,u�Sl, �,�Na �(g�y.v <br />Phone:_ zo�, 755 1z°lc email: -J�s��ka•�d-���l,,�r�.�.J�,cU�� <br />Confac�: <br />Name: <br />Address: <br />City/State/Zip: <br />Phone: <br />Permi� �ee: <br />�)itlV�H 7t.ij ctfa7l.�"� <br />Asphalt Paving (Sq. �t.): <br />email: <br />Total of Public Improvemenfs: $ l���3 �2� <br />Total o� Private Improvements; $ �T, �-2� <br />'7�� �Z� i o 2 <br />Asphalt Paving: <br />P(an Review Fee: <br />Inspecfilon Fee: <br />PerFormance Guarantee: <br />(1.2 X cost of Public Improvemenks) <br />Total. <br />For OFFrce Use Oniv <br />$ <br />� (.�l-5 � <br />�. r; z�� ��� . <br />� f�,2s a,� <br />� /�, /3-2, � �1 <br />%�'//�� <br />l <br />