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� n <br /> EMGII'VEER)YYGiPU�IIC S1 ERVIC�S D�ARTMI E1V T <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: <br /> Public Works Permit No.: <br /> PROJECT NAME: <br /> LOCATION: S' �/ Y� ��r'!f!/' C`��-'r r`, <br /> �� � �. <br /> DEVELOPER: l��) L r-�' �"/c <br /> Name: .UL�"{-_ J>r '� �'�� �c. <br /> z � <br /> Address: �� '�'�'�= .0 u E � /�t��r� d,� �/. <br /> City/State/Zip: �`��� � '� L L S <br /> Cor,tact: �� <br /> Name: �a.•Y � c +Y��c �, <br /> Address: <br /> City/State/Zip: <br /> Asphalt Paving (Sq. Ft.): � � '' <br /> Total of Public Improvements: $ ��.� `� ' <br /> Total of Private Improvements: $ � `��� � <br /> — F��Off a �OnN <br /> Permit Fee: <br /> Asphalt Paving; S <br /> Plan Review Fee: � <br /> Inspettion Fee: � <br /> Performance Guarantee: $ <br /> (1.2 X cal ol f`ublrc ImprovemenLs) <br /> ToWI: $ <br /> INUI,IW�ti�ti'��r:I1tii HNM�I lll �4t � <br /> � <br />