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._�i. <br /> '� ENGINEERI�IG/PUBLIC SERVICES DEPARTNIE/V f <br /> � Ev Err <br /> CUST ESTYMATE FOR PERMIT FEE CALCULATION <br /> Date: <br /> Public Works Permit No.: �'�1 U� � I�G3� <br /> PROJECT NAME: �� '" �o���/,[/nr�:=S <br /> LOCATION: �•Sn�j ��� �i �sli,it <br /> DEVELOPER: S�Ct�EN TUN.t/ .LAN�S V��PK �o,v;f. .(� C <br /> Name: S>,���r- �C-q.�ix�%-�c.� <br /> Address: 4.�/S _St,ev�nrrie .c����r� <br /> Ciry/State/zip: %3n1/rLl /�cJ/� ��D1,2 <br /> Contact: <br /> Name: ��cvc � v���u��k, <br /> Address: .���5/,����,�n�t v��� <br /> City/State/Zip: ,l3���C1 �v/� ��Di.Z <br /> Asphalt Paving (Sq. Ft.): 2.70d g�i j/- <br /> Total of Public Tmprovements: $ �, ���1, �f� <br /> Total of Private Impr�vements: $ Z ' �S 1 (� � -;--_.__� <br /> , �< < . L <br /> , , �,,�.(1 I�� � �_., <br /> _ �I <br /> __ -- . ���_ ,� <br /> - For O�ce Use Onlv = = LI �j It..�}` � ! Z�„? � <br /> ; Permit Fee: <br /> � '/ CI 1 Y pF F���RFTT <br /> Asphalt Paving: $ `�"S P�;;,;i � . , , <br /> Plan Review Fee: $ �-U �" ' 6� <br /> Inspection Fee: $ � � S � Z( __ <br /> Performance Guarantee: $ <br /> (1.2 X[ost of Pu61ic Improvements) <br /> Total: $ l �� C �. PL _ <br /> r.cn4ur,00esms esr-r�er�+�r r�e uic �� <br />