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FEB-2T-03 12:22PM FRON-GrahU +206T2i11/4 T-i14 P.002/011 hT61 <br /> � i. w �y.y� /��q� <br /> �IMfI�M+\�Y��Vi.✓ VM I'1�`I I-IY�I <br /> I/�� <br /> COST ES'TIMATE FOR PERMIT FEE GLCUI.ATION <br /> Date: 2' Z S"U 3 <br /> Public Works Permit No.: <br /> PR07ECT NAME: w4 � qyctn �S � 7�7 7U <br /> LOCA7ION: N C �- �-�rd P r5Vo24wa� <br /> DEVELOPER: S � G Z �Yd 1'�'� / <br /> Name: S[o�� �V4:t,�tr <br /> Address: • �4 5 �U6�� A�c N� S�:�e �U(/_ <br /> City/Stdte/Zip: �/���twt �l✓1� q � DO y' <br /> contact: cvc I�os c <br /> Name: rrva��,►v1 ��� �vHc�;:+y �I I) II}I�t 5� <br /> Address: y7U`1 �yd /��c �✓C p ZU�6 <br /> ��tylstat�ziP: 5,, fflc 1�v� W ���5 <br /> Asphalt Paving (Sq, R.): 3� ��u <br /> Total of Public Improvements: $ �j 2� `��5 � <br /> Total of Private Improvements: $ �'S� ��6 � <br /> rbr orflce uu o�w <br /> Permit Fee: <br /> Asphalt Paving: � � Q� '� <br /> Plan Revfew Fee: S ( lU�' ¢� <br /> Inspection Fee: g Z3�� 93 <br /> Pertormance�Guarantee: $ �3��J` z� (�'�`(�°""a'�c� �i'nd <br /> (1.2 X cosc of Publie Imprwements) 0 r �t A`"��t�� <br /> 7otal: $ ��3•�� <br /> � �2i ���-�q��ior1 � �27, �A7� <br /> �'l � ✓" <br /> DE„IPROO�cS/LVS76T-0&1�LTFEfGLC �,�.Y�Ce {-f�-� = T$� <br /> `Fr� <br /> Z " /��sEi"c Hia =�o� � <br />