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ENC�NEERINGiPU�UCSfRV1�0EPARIMENT <br /> ;� <br /> , <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: %� �' <br /> Public Works Permit No.: �U �-� �`� <br /> � <br /> PROJECTNAME: ��c75[��:(c.' I%e�c�: �C,�lf��t�e�� <br /> LOCATION: IIIC% l���r�sl�)�i I �17'tr' F <br /> DEVELOPER: �� <br /> Name: i�n %L1,�i��r�n <br /> Address: _...�' C• b�'X -?4�S <br /> Gty/State/Zfp: /��� � ,�-�� � //c l��'/d `� S � 7G' <br /> Contact: <br /> � . <br /> Name: , ..�- -_ ��/�:-�n-�—t•� �•/!c' <br /> Address: �1�3 ) %L- �� � Sl lv��= ��1 ' �� y <br /> City/State/Zip: %:�i,; r � l(� IL/� `I,�S" � 7C_ <br /> Asphalt Paving (Sq. Ft.): %�x , S�- "� <br /> Total of Public Improvements: $ I 3� `�/ <br /> Total of Private Improvements: $ � � ����� • <br /> '� For Offlce Use�y <br /> Permit Fee: sZ <br /> Asphalt Paving: $ ��L � <br /> L <br /> Plan Review Fee: $ Z `� r/ ' <br /> Inspection Fee: $ S�� n�' <br /> Performance Guarantee: $ <br /> (1.2 %cost of Public Improvements) <br /> Total: $ <br /> DCDI/BROOFLCOST L1T'VENMR�[E GlC �� <br />