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� � ENGINEERINGiPUBl1CSERVICI�SDEPARTMEM' <br /> ;�'.. <br /> Err <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: �.2 - z3 - .1ct�f <br /> Public Works Permit No.: ��vU�I Z Qa�, <br /> PROIECT NAME: <br /> LOCATION: �oyfC>_� K (a , ner �(' . C'�1G5 y (o j (;� <br /> DEVELOPER: r�Uunc�U � eu Cantr�. �- t�rS Lc.c <br /> Name: MA+t- Reuc <br /> Address: � 0 1�oX ,�0�13 <br /> Ciry/State/Zip: 1= ve +e i+ �ln Sfi.2 i 3 <br /> Contact: <br /> Name: � An�� A5 n�,o✓t <br /> Address: <br /> City/State/Zip; <br /> Asphalt Paving (Sq. Ft.): ����1G' <br /> Total of Public Improvements: $ c� 5'S� oC-� <br /> Total of Private Improvements: $ /,�C�G' vo <br /> T�,.C� � 6 � /S"S� <br /> For Office Use Onlv <br /> Permit Fee: <br /> Asphalt Paving: $ ¢ ' � �� <br /> Pian Review Fee: $ Z`FZ . ,�� <br /> Inspection Fee: $ ���{. C S <br /> Performance Guarantee: � <br /> (1.2 X cost o(Puolic Improvements) <br /> Total: � , ° �/ .y't'v <br /> eeo�iaaoo�s.�io�tsr�reawtr rcE r;.ie I/� <br /> � <br />