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COS'I' tiSTINIATE FOR PERMIT FEE CALCULATION <br /> Datc: <br /> Public Works Pcmiit No. rW J4�U5-G3/ <br /> PRO,JEC'i' Nr�NIE: --- /_i- `.' ��� �' Y" '' (U,:::J; — <br /> LOCATION: �GZ�J iGrr-�i ;" � ��r' <br /> llEVELOPER: �� �1t�INSO�t c�vr15��`vG-r1�cL1 __ <br /> Namc: <br /> Address: <br /> City/State/Zip: _ <br /> l'cicphonc: _ <}2� 27�^ 235� -- <br /> CONTACT: <br /> Name: <br /> :\ddr�;s: <br /> City/State/"I.ip: -- <br /> �r�i�pn��,�: <br /> _ ., <br /> Asphait Puving ( Sy. CQ � – ���" <br /> � �/ Y <br /> l�otal of Public lmpro��ctncnts $ 'T�-� <br /> [utal of Private Improvements S L- I �(� _ <br /> �d�11'(Sd'7� JDnNSlJ�.Q dGr��s,,.nG{-. <br /> 1'ur officc usc onlc <br /> �i_ .� �'� �;;, ��,� ���o I �l; ' . <br /> i�rii�uT F�r: i I�Q. <br /> Asph�lt Paving $ ��� ✓ ?," �MtG{�jG <;{'7 <br /> Pl�n Revic�v Pee $ ?7'�� l Z`� �s• � ^'�"�� <br /> Inspection Fee $ ��G l <br /> Perfomiance Guarantee $ �.Z�b � <br /> (1.2 X cusl ol I'u61ic Improccmcnls) � <br /> �ro�rAL 5 12 5(� <br /> ���t�'r'rJ �1� ; i iJJdi�il7rl - ��y� iC.t./� � <br /> r <br />