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I 1 <br /> D'VGINEERINGiPUQLIC SER VICES DEPARTMENT <br /> J � <br /> ' <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: ��• <br /> Publfc Works Permit No.: V1��U�-�U`1 <br /> PRO7ECT NAME: Palnc� �eld I/ll�t i �>1�aUP 77Dn'F.�o�� # 05 -OSl <br /> � <br /> LOCATION: < <' ;> f�rrl �It rtd � /., vP��r'1,f I,L'/-� <br /> DEVELOPER: ' <br /> Name: �i��, 1�-�=r ��i�r<v�� <br /> Address: I �31 �z C�5� �a����,11c��t� �i�n�e <br /> City/State/Zip: � Ci ���' ���-1.�'� 15 1,1 �t) `1 S�i'� <br /> Contact: <br /> , .� . <br /> Name: �., � h , r ) . '� L �' � i- �. ; �.: <br /> i � <br /> Address: �-/12t1 7/,-y�' S•! /1.' - ��,, , -1/� �( <br /> � City/State/Zip: �����r�r i � V i I��� ti11� << ��.�7(�' � <br /> � � � <br /> Asphalt Paving (Sq. Ft.): '�I { �� � ?�� - {� . <br /> Total of Public Improvemenks: $ �(a, 213- �r> <br /> Total oF Private Improvements: $ y�. Ul->� 1>(� <br /> For OHice Use Onlv <br /> Permit Fee: <br /> `j'� <br /> Asphalt Paving: $ �'��F� <br /> /S <br /> Plan Review Fee: ' $ /��3 � � - <br /> J d <br /> Inspection Fee: $ 3 �G�'. � <br /> Performance Guarantee: $ <br /> (1.2 X Cost of Public ImprovemenLS) ,/ � <br /> .�! <br /> Total: $ S'�?in'� <br /> OCDUOROO WCOSf L57'FENNR/EE GlC I/c <br /> � <br />