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� <br /> ENGINEERING�PUBUCSERVIC�S DEPARTMENT <br /> {� <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: _�� ?�_�i I/ <br /> Public Works Permit No.: �� //0 —0 �� <br /> PRO]ECT NAME: ��'���t ��'��^0�7 �c�/c.� w �Gvr+Ci7i�C <br /> LOCATION: � O D 3 ��, � .�lNo <br /> DEVELOPER: <br /> Name: , a�' <br /> Address; �' � �a` <br /> City/State/Zip: �� g �c / <br /> Co�ttact: <br /> Name: �G £�/V�� �/e�n ,�� 5�-G <br /> Address: O , '[� �� �— <br /> City/State/Zip: � � � u' <br /> Asphalt Paving (Sq. Ft.): 7���.Q, 3•����� G `� <br /> Total of Public Improvements: $ <br /> Total of Private Improvements: $ <br /> -- ------ - � • <br /> — ---- - - -- s�.�-- - --_ <br /> 0 o i <br /> Permit Fee: <br /> Asphalt Paving: $ �DJ � o J <br /> Plan Review Fee: ����Fw�e $ ��� ' � � <br /> Inspection Fee: $ <br /> Performance Guarantee: $ <br /> (L2 X cost ol Publ¢ ImprovemenLs) <br /> Total: $��_ <br /> neouaaoowcosr�sr-ucar+avice uic <br />