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ENGINEERINGiPUQCIC SERVIC'ES D�EPARTMENT <br /> COST ESTIMATE FOR PERMIT FEE CRLCULATION <br /> Date: B /� ��� <br /> Public Works Permit No.: <br /> PRO7ECT NAME: L✓a.��SMast l�i7f-rn���yav.���'��cKs+n,� 10�4i Ir <br /> LOCATION: /dtoS Ci.�.f��s�u.�, Wiw_�r.re.r,f f .r+/!f <br /> DEVELOPER: ���' � �w� <br /> Name: �I�.I �l�l�o/�:.: <br /> Address: ��or �'+�h'n+� �✓�►- <br /> City/State/Zip: F-�✓�j �A" <br /> Contact: <br /> Name: S�- � ��- <br /> Address: <br /> City/State/Zip: <br /> Asphait Paving (Sq. Ft.): �/o��D � 3 Z � S � <br /> Total of Public Improvements: $ 2-¢� .3� "— <br /> Tota! of Private Improvements: $ <br /> For Office Use Onlv <br /> Permit Fee: <br /> Asphalt Paving: � $ `��Z . SD <br /> Plan Review Fee: $ 3�; ��z• 8 � <br /> Inspedion Fee: � � �25, 6 a <br /> Performance Guarantee: $ <br /> (1.2 X co,t of Publlc Improvemenls) <br /> Tota�: � 1� S �• �' �_ <br /> ��c� <br /> OE0�80.001W C05T ES('rE�1IR°EE CIlC <br />