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Ei4�'IlVffI�IVC�P(1bVlCS6eV1C�S D6�ARTl MENT <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: 11-2"t--o ¢ <br /> Public Works Permit No.: i�loa�o9-o�� <br /> PRO)ECT NAME: 5�����1 � 4'14 � FJFL. �r�ta �-�-r�-t app'�J <br /> LOCA7ION: N. E .G. L3Ro�o��'1 '� t't � h S-�. <br /> DEVELOPER: S�F'L-��+-"l �a't�ES �J C.. . <br /> Name: 'CZuSar��J� 54-1�-.�.=.. � r2c�z. <br /> �>ddress: 11 2� - 12� kh ,��c r�E R� �5�0� <br /> City/State/Zip: 8�'Z-�--�►J G� �� . Q�o i s <br /> ConWd: <br /> Name: .�r+� y�,zizi so � <br /> Address: �flsp9 �'L 12o�-h P�- <br /> City/State/Zip: ��1�-�`�J � � �,J� � ao 3 �} <br /> Asphalt Paving (Sq. Ft.): l0 2'7 0 <br /> Total of Public Improvements: $ �i I �� <br /> Total of Private Improvements: $ ��i �11-`�" <br /> � For Office Use Onlv <br /> PermitFee: c ;c;�, c„ Ce,�-j�vf �d' <br /> Asphalt Paving: $ �J � � i� <br /> Pla� R�view Fee: $ ��7 • �� <br /> Inspection Fee: $ ��� 1 , 22 <br /> Performance Guarantee: $ � 7 � � b� <br /> (1.2 R mst of Public ImprovemenLs) <br /> rota�: g 1 D 7Z� 18 <br /> ocoYeRooiwcosr esr-v�aMR r[e eut �C <br /> dD <br />