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ix�o�ioo ii:ai <br />4�:a et� a�ei <br />'I1tIAD A9SOCIAiE9 <br />COST ESTIMATE FOR PERNITT FEE CALCULATIvr� <br />�oot <br />PRO.JBCT 1YAM�: <br />LOCAT[ON: <br />DEVELOPE1t; <br />N���: <br />Address: <br />� Cily/State/Zip: <br />a�c�: <br />PubLc worin Pen„it No. <br />_/� i .e 1 / <br />1� 'I �' I <br />. I ! � • . I,I <br />,� , �. <br />,. <br />Telephone: _. ��D� (�'S- 9.;13l. <br />CONTACT: <br />Nama: <br />Addttss: <br />City/State/Zip: <br />Telephone: <br />�. � `� .., : 1, , „ <br />. �, . <br />. , ,� i � , . <br />� <br />• . . <br />�. . <br />Asphalt Pnving ( Sq. R) <br />Total of Puhlic Improvpnrnta <br />Total of Privatc Improvements <br />PERMIT FEfi: <br />Por o16�e oee onry <br />Asphalt Pav;nK <br />ri� x����, Fre <br />Inspection Fee <br />Performance (3narantee <br />(t Z % :ost of PuWk Lnprpvemenb) <br />TOTAL <br />a_ 93, �D.S _ ,._ <br />5,�,� <br />s- l�...B�- <br />s �oj�eL <br />s_ 7� Ls— � <br />�r <br />� <br />1� <br />