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I . ` ` I <br /> ENGINEERI�IGiPUBlIC SERVICI�S DEPARTMENT <br /> � <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> �ate: 3 3 20 O <br /> Public Works Permit No.: w �"G�`� <br /> PRO]ECTNAME: i�.IF bl,//niilS N�j(1,�?�rY,C�S <br /> LOCATIOM: ZSv�` /1��Ll�/� �}"C. /�1/'"rP.�� ����• <br /> DEVELOPER: ��As��d��a�/ ���-�u/� <br /> Name: '/�P'�d/� /��/s� U ��I7�f�5C7i���1�iYl�l�.L�3 <br /> Address; �q ����"-���� <br /> City/State/Zip: ���l��m , /,�_�7,Z� <br /> Co�tact: <br /> Name: �G �e„(�6/V9lJ�LL �S,J��_— <br /> Address: � GX ����9 <br /> City/State/Zip: �1LL r �rQ�/L !�(/� . ��D�v <br /> Asphalt Paving (Sq. Ft.): `7�l7� �� <br /> Total of Public Improvement�: $ `��3T 0/�_ <br /> Total of Private i��iprovements: $�?. �75 ��� <br /> '���- � 3 ,�', .�90 f <br /> � <br /> For Office Use Onlv <br /> Permit Fee: <br /> Asphait Paving: $ ��� o � <br /> Plan Review Fee: $ '�53 ' �� <br /> Ins ectfon Fee: $ � � 06��� <br /> �2o��n c�oN-l-iz.e —rZoo • oa <br /> Pertormance Guarantee: $ <br /> (IZ X cost of Public ImprovemenLs) <br /> Total: $_� • sr <br /> DCDi�B0.00K5/COSf FST�PE0.MR FEE ULC � <br />