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�' ENGINEERING�PUBLICSERVIl,�S DEPARII NENT <br /> �tv n <br /> �, . <br />? COST ESTIMATE FOR PERMIT FEE CALCULATION <br />� <br /> Date: `� � Z°°� <br /> Public Works Permit Nu.: W��OZ� <br /> PRO]ECT NAME: �.4�.SD.4 �t''-P-�E'z5 <br /> LOCATION: l I C� l D E[E2G.2EE"rJ lAI.M`c' <br /> DEVELO�ER: ��D� �.a'��--�i2aaT G�ovp � 2�.-�C <br /> Name: Tet2r.�o F„�..a.L. . Pr�t3 �d(s <br /> Address: J 9 O l n1 E I/?_�� ,4�/�. 3� t7—/o� <br /> City/State/Zip: �����Ett. . V�A 9 S3b8`f—9.3y� <br /> Contact: <br /> Name: T�� ��v+1B�Q.5 <br /> Address: �1���.�-� dYc .�vF E _ ;�r� �o I <br /> City/State/Zip: �Fe-'r'r�.c. ��cl-n- 9B 1 �9 _ <br /> Asphalt Paving (5q. Ft.): Zo�9�� <br /> Total of Public Improvements: $ 1 bZa• o0 <br /> Total of Private Improvements: $ ZS� S� _ <br /> For Office Use Onlv <br /> Permit Fee: ���d5�Q1 �j'� . d-d 1 <br /> Asphalt Paving: � ��� � � Z G r-I��S-{-z1 I I <br /> Plan Review Fee: $ ��?7'� — 2 `� I�� <br /> Ins edion Fee: $.���D '��' _ <br /> P � _ t; }..� inSi�hl( <br /> Performance Guarantee: $_�_ <br /> (1.2 X cost of Public Improvements) <br /> Total: $ �?1�D`� � <br /> oeoire�+aoKsicosr esr�veanrz�e cuc �/�0 <br /> t <br />