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� ENCINEfRINC�✓P�IBUCSERVICI�SDEPARTMENT <br /> �,;;. <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Uate: U"Z6-�� <br /> Public Works Permit No.: �'���(�0'Q7�} <br /> PRO]ECT NAME: �_��-T�" C �r�-n <br /> LOCATION: ZC�ZO R,�'�vr:�,.� <br /> � <br /> DEVELOPER: �io� ���'1��� <br /> Name: <br /> Address: �Z � �1qh��euGl' <br /> City/State/zip: L�{.'fi G��/�yt t, �✓G ��ZO� <br /> Contad: <br /> Name: � �7��19�✓� <br /> —� — — <br /> Address: <br /> City/State/Zip: _ _ <br /> Asphalt Paving (Sq. Ft.): �� Il,oOC)'�� <br /> Total of Public Improvements: � ��n 10 � <br /> Total of Private Improvements: $ (���%� � <br /> Fror Office Use Oniv ,i � <br /> Permit Fee: `� <br /> ; , n�,o-i •- � �O — .�— <br /> � <br /> AsphaltPaving: � 55. 00 (�1 �� ��tcS�C,c <br /> ` _ �,+� ,�s+�n <br /> Plan Review Fee: $ �12� qa <br /> Ins ectionFee: �(� , � �� 1 ���{ Irr;�tG�;a� <br /> p � — _ �; �J�s+�u <br /> Performance Guarantee: $ x �-.—r-_z <br /> Q.2 X mst of Public Improvements) �1_ �f� <br /> IU T <br /> Total: $ � b�Z �ZU <br /> � fG���l _ �c�,qG�c7, oo ( I� Ne� r � . <br /> — e�i ru!L �i�,n^¢rC�• <br /> �eouoaooiwcosr esr�Pean���.e uic D � <br /> l/ <br /> 0 <br />