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� � ENG"INEERINGiP!l�LICSERVIC�SD�EPARTMENT <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: L"`� � � l"� <br /> Public Works Permit No.: D, ^ '-C�1 I <br /> PR07ECTNAME: �olAL� �(1LLAG��y, <br /> LOCATION: 3° 3� /�(lcKz��2 f}V£, TV���T7' � �If} <br /> DEVELOPER: JFI�C�C y �����QRfS�S <br /> Name: �—o C3S� �✓(� ('��(C� �/ <br /> Address: _!'7 � � /� Z 6/ <br /> City/State/Zip: �V� R�i i , t/� �� 2 0 / <br /> Contad: <br /> Name: �-� !� S�9 �✓Gj Oq/ G S y . <br /> Address: �0 �Ck /3 2G( <br /> City/State/Zip: �V�1� ti i 7 , t,f� ��i Zo l <br /> Asphalt Paving (Sq. Ft.): 37'� /D <br /> Total of Public Improvements: $_Z/%�S�eO <br /> Total of Private Improvements: $ <br /> for Office Use Onlv <br /> Permit Fee: � <br /> Asphalt Paving: $ / <br /> `� �"�- <br /> 93 <br /> Plan Review Fee: $ 3 2� _ <br /> � �� <br /> Inspedion Fee: $ � <br /> Pertormance Guarantee: $ <br /> (1.2 X mst of Public Improvements) <br /> Total: $ �i/�i�f' �3 <br /> DEDI/B0.00K5/CO57 CSf-�CRMR FCE CALC �� <br />