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ENGINEERINC�✓PI UBLIC SERVICL�S DEPARTMENT <br />COST ESTIMATE FOR PERMIT FEE CALCULA�ION <br />PROJECT NAME: <br />LOCATION: <br />DEVELOPER: <br />Name: <br />Address: <br />City/State/Zip: <br />GonWct: <br />Name: <br />Address: <br />City/State/Zip: <br />�( <br />G <br />Date: ' � � • 14- <br />Public Works Permit No.: <br />r <br />0 <br />�'�.a(r�° �l.�.nn-f� <br />� �UX L��QJ <br />�,f�tr�MN� (.l� alg8(oa- <br />l-.�l�wt� <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Improvements: <br />Total of Private Improvements: <br />��(p0 <br />� a�- <br />� ( (n OI7 - <br />_ -- - - _. <br />__. __ _. <br />For �ce Use Onlv <br />Permit Fee: <br />Flsphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />Performance Guarantee: <br />(1.2 X cost of Publit Improvements) <br />Total: <br />oeouuaooKveosr ��nan�r «c u�e <br />rw <br />$ �7 <br />� 27�75 <br />� 5:�' . � <br />$� <br />.� <br />� IZS.ZS <br />