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;.; <br />��` � ENGI/VEERING�PI/BUCS�'R✓I�'ESDEPARTMENT <br />'' : 'fv Err <br />COST ESTIMA7E FO�q P�RMIT FEE CALCULATION <br />Date: � �.Zi�03 <br />Public Works Permit No.: <br />PROJECT NAME: _ ,'<<.r �li._ F-zuti Ci%v,uPvs �rxR �C't;ty (�-� <br />LOCATT7N: <br />DEV'.LOP�:R: <br />Name: <br />Address: <br />City/State/Zip <br />Contact: <br />Name: <br />Address: <br />_;-i c� (' �/ �VG'� N�C PN I,tJc�.�� r �%�.r� � f�� �v1A- <br />Ti� ��1Ur201�4 (''rll�✓ItiN L!r` <br />_ ! G tn �lir.(,vi{�(.c.�i <br />i�i ('�o x l S'D � <br />_ f.J o ocQ l c�...�.E' � �v i9- %�G 7 y� � <br />City/State/Zip: <br />1 0 ,n ✓�l.c_la,��-c.� <br />�o �3ox �s0� <br />L,l ��i_r,�1C � C�i�vl � l.l%/�F � �0 �i % �i <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Improvements: <br />Total of Private Improvements: <br />,2�! i 3 % <br />�_ s, 3s 5 ���_ <br />� t�-�-�— i � , � �, . � <br />For 0� Use Onlv <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />Performance Guarantee <br />(L2 X mst o( Public Improvements) <br />;�,'� r°ta�_ <br />����a., <br />�`�1.� I <br />oenueaoo�s;msr esr�oeanr ree u�c <br />� IZ5��8 <br />� 2�t, �g <br />� �G3. q� <br />7CY�0• = --- <br />� 85i.43 <br />N'�D <br />�r�� 3� <br />�� <br />o <br />