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,. f�ev�,red B •/3-v3 <br /> • f���/�C$f����i��� <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: <br /> Public Works Permit No.: �hl� SiL�o35 <br /> PROIECT NAME: r����"_ =�� ��� I-�'J (� ;`I �J �: C C���I l� C'' �l ` �,i I �l �'(5 <br /> LOCATION: ��-<) Z ��1 E �— V � iJ !� U � <br /> DEVELOPER: I�`�\ r7 I � I�C. C K" <br /> Name: �� A I� {3L � �- <br /> Address: 1 � t) �S�� � �`�� <br /> City/State/Zip: • J: �` ! l-U /{ .` ;l .� f? Z i `', <br /> Contact: <br /> Name: � 1� 1����i % (. I���(� G� <br /> Address: �'2 `Z .� - �� �,-�i' S� /l�� (_; , <br /> City/State/Zip: 'd� ��1`y> J `�� �= 1-�-l� �5 �j' 2 �v <br /> Asphalt Paving (Sq. Ft.): `���' `''r} FT� <br /> Total of Public Improvements: $ <br /> Total of Private Improvements: $ ��. ���J•��� <br /> For Office Use Onlv <br /> Permit Fee: <br /> Asphalt Paving: $ 2`�• �� <br /> Plan Review Fee: $ � S � = <br /> Inspectir�n Fee: $ � O � -7 O <br /> Performance Guarantee: $ <br /> (1.2 X cosl o(Public improvements) <br /> Total: $ � � `�- . �.� <br /> OC�I)9ROOK5/COSf CSf�PFRMR FCE[AlC � <br /> l %M <br /> �.y <br />