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� <br /> CS�PVIC�SDIf�R1�k�M <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: <br /> Public Works Permit No.: pvVU3��l -oi� <br /> PRO)EGT NAME: ` �}-C � �� <br /> LOCATION: - 'f ;�I c_`dl �.t� /�v-e.. <br /> DEVELOPER: _ <br /> Name: <br /> Address: <br /> Gty/Stat�!2�r' - - -� ------------ <br /> Contact: <br /> Name: ---- -- ---- — <br /> Address: _ <br /> C�`/Sbte/Zip: - — --- - - ----- - <br /> Asphalt Pavin9 (5Q. Ft.): ---- <br /> Total of Public Improvements: S ,I <br /> total of Private Improvements: $ �4�� <br /> �-_ __ _ - - - -- <br /> FOt OR![e Us!Ony <br /> Permit Fee: <br /> Asphalt Paving: $ �� _ <br /> Plan Review Fee: $ j � � >j _ <br /> Inspection Fee: $ �L' �� <br /> Performance Guarantee: $ � __ <br /> •: �y ..�. n1 P�.d:^IRK/���nm?•r•,i <br /> lOta�: ''y � ���� � / <br /> . . � . .. , .. �� <br />