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� ,. , �,,,y <br /> . ENGINEERING/PUBLIC SERVICES DEPA�QTMENT <br /> �� � <br /> CdST ESTIMATE FOR PERMIT FEE CALCULJ,TION <br /> Date: "7� <br /> Public N/arks Permit No.: <br /> PRO]ECT NAM E: (�NJ�� �QK,U1(l„ �!�L/C,�,�/ QX�N/a�� <br /> LOCATION: ZQlI l.oM6+�� �VV� <br /> DE1.'ELOPER: �Q1� �l1lrQS LLc� <br /> Name: -j�%� /�Ub4N <br /> Address: /{y�/y �+� �7� � -- <br /> City/State/zip: Tj��v� (�y� 9�c�v <br /> ; <br /> Contact: <br /> Name: � � <br /> Address: z717 �CIC�F�[L��y� <br /> City/State/Zip: E✓� _�� CI`�zp l <br /> Asphalt Paving (Sq. Ft.): �Z� _�_ <br /> Total of Public Improvements: � /�$/O• <br /> SO <br /> � <br /> Total of Private Improvements: $_ '7�O• __ <br /> --- • 2 ( �J D <br /> _--- : - -- --- ---�_ <br /> -- -_-- ---- -, <br /> For Office Use Onlv � <br /> Permit Fee: <br /> Asphalt Paving: $,�- S <br /> � <br /> Plan Review Fee: $_ � Q � Z, <br /> , <br /> Inspection Fee: $__�6_ S� <br /> Performance Guarantee:_ $ _ _ <br /> (i..X Cb5[d({�Il�'lIC Irnpravement5) � � <br /> Total: :�____ /5��� , <br /> omL��,�•��,r�,R�EE w� . <br />