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� :1''��,e"�. <br /> ' R ENGINEERING�PUBLIC SERVICcS DEPARTMENT <br /> ^•a-:�'. <br /> EY ETT <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: �� - I�t-ZU<< <br /> Public Works Permit No.: �1 ���( "�S <br /> PROJECT NAME: <br /> LOCATION: <br /> DEVELOPER: gIGLGk D-G�1 1�1�1C��+�laJl'V"S _ <br /> Name: <br /> Address: 2�� ` �« `7� � <br /> City/State/Zip: �eV'{'�� v1/a g�� <br /> Contact: <br /> Name: �OSS J'� i-sr�"� <br /> Address: 3 � `� ��� � �`"�`�- <br /> city/State/zip: �vP�r�G� W�i qj261 �{2S ZS7�yo3o <br /> Asphalt Paving (Sq. Ft.): _ � Z`�� 'F"� � <br /> Total of Public Improvements: � �� <br /> Total of Private Improvements: $ (�� ^ <br /> , _ _ -__ <br /> For Office Use Onlv ' <br /> Permit Fee: <br /> Asphalt Paving: $ �S� <br /> Plan Review Fee: $ <br /> ?�4� <br /> Inspection Fee: $ 3�1 � <br /> Performance Guarantee; $ l/' <br /> (1.2 X ces[o(Pu61ic Impravemenls) <br /> Total: $ 1 D`�" — <br /> � / <br /> �� -� . <br /> C'L:.i'.;:C;;J�i!ST-FC;JA(T f Ec CALC . <br />