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ENGINEERING/PUBLIC SER!�IC,ES DEPARTMENT <br />CQST ESTIMATE FOR PERMI7 FEE CALCULATIaN <br />PROJECT NAME: _ <br />LOCATION: <br />DEVELOPER: <br />Name: <br />Address: <br />City/State/Zip: <br />,c-�� ' G � n�;;�r � <br />140Z 5t: � <br />�'r=C2c�7�'S-� <br />Date: � �P� �S <br />Public Works Permit No.: �i')�71�'03Z <br />� <br />Co�itact: ��� � � (� IZ�`.� �{ZS— �—�0 <br />Name: ��D ��o^ <br />Address: <br />Ciry/State/Zip: <br />Asphalt Paving (Sq. Ft.): � <br />Total of Public Improvements: $ X- <br />i otal of Private Improvements: $ �� `1 � �%'. — <br />For Office Use Onlv <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />Performance Guarantee: <br />(1? X cost of Public ImG�ovemenL) <br />Total: <br />L'.II ' i:� '�-'f:HITRut:�L' <br />� �) �!' � . �O.�i <br />� � <br />(1) Z���DmeSr�c <br />— vevc�u��c� . ., r� <br />( I ) �” �rc ��v'rc <br />—'n�!�7 <br />_ es{;m�l C <br />� � � t� ��d -lx'/V:CC <br />- ;n �1��� <br />- C;Em/iC. <br />, , ->;��.�csk�7. <br />. _rcluc��ceA•-�.��, <br />f�rs ;rr.�ic� <br />�c= - /� <br />_ _ „ -'Lc ' � �f`_i 1 <br />