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k At <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />Date: 1 24 zo /l <br />Public Works Permit No.: vj //of - CC 3 <br />PR03ECT NAME: <br />LOCATION: <br />DEVELOPER: <br />Name: <br />Address: <br />City/State/Zip: <br />Contact: <br />Name: <br />Address: <br />City/State/Zip: <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Improvements: <br />Total of Private Improvements: <br />For Office Use I <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />Performance Guarantee: <br />(1.2 X cost of Public Improvements) <br />Total: <br />$, Sov <br />$ l5 , o o� <br />$ 27-1, 'SOb <br />Em <br />/3 <br />DEDUBHDDKSJCDSr EST-MMfi FEE CAIC <br />