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tiC�'�7. <br />i%�� <br />Q�� <br />ENGINEERING/PIJBLlC SERVICFS DEPARTMENT <br />COST ESTI!�ATE FOR PERMIT FEE CALCULATION <br />PRO]ECT NAME: <br />LOCATION: <br />DEVELOPER: <br />Name: <br />Address: <br />City/State/Zip: <br />Contact: <br />Name: <br />Address: <br />City/State/Zip: <br />Date: <br />Public UVorks Permit No.: <br />6 ZS' v`j <br />PWU�o6-o45 <br />A�`�i���iii'�'/�l �L �L �l�r!'r/j �� <br />I„):1I'.� Sl r„�PS <br />I IZ.� I�. L�, i� ���-c.�s (��1 <br />�-..�� s� ��e�.�.� � W���Y <br />ua� ne`�.�a^ � ����.A+-�,..i ,,.�k���s� p� <br />.L72,1 ��e.,�=�'-�L��e ;; �l ol <br />F_�l PS<_�, Wi� �� ZD � <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Improvements: <br />Total of Private Improvements: <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />PerFormance Guarantee: <br />(1.2 X cast of Public Improvements) <br />Total: <br />��, �� <br />$ i , L.�I�i <br />� �5�,�3� <br />For Office Use Onlv <br />$ '�� % <br />� z�,�: 3 <br />$ ��_� ) .� �i <br />r <br />i � <br />� /�l �l <br />DEDqBR0016�CC5T ESf-GERMR FEE CALC �7 <br />