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' �- <br /> / <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Datc: V <br /> Public Works Pcrmit No.: <br /> Pro'cct Namc: _ .�1�, �,�r-` \,c.,,�A-r-„ <br /> �— <br /> Location: �� _���^L 1 <br /> Devclo cr. � ����, r�� <br /> Namc: �' ', �J ` <br /> Address: � . I ✓��,/ - � <br /> Contact: <br /> Namc: <br /> Address: <br /> AsLtialt Pavin� (Sc�. Pt.): � � �� � � <br /> Total of Public Improvcmcnts: ��-s_(___ <br /> Total of Privntc Im rovcments: <br /> FOR OP FICE USE ONI.Y <br /> Pcrniit Fcc: <br /> A�,a�t Pavinb: <br /> Plan Revicw I'cc" <br /> Ins cct�on !'ec: <br /> —�------- -- — <br /> Pcrfomim�cc Guaranlcc: <br /> (1.2 x cosl of Public�iro��cmcnts) ----_ — -- <br /> ��� •�'9�sF,;:r,. ,-.:. <br /> , ._ ' .... . <br /> '1'O"1'AI� _ <br /> {�L,a�� CG��c � . �(o �33 � x I � 57 r Z � l, �,� <br /> 16 $3 � X 3, 0 � = SOS �� <br /> z�srQ�.�-,on � � <br /> ,��� <br /> �Q�,�� z, �pr� x o, oo, = � 3 <br /> � 77�' pw Q¢.rr►�'i � �ce . <br /> � � <br /> ��,����- �..�.�� � G��� 2 = ZO, DOG <br />