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� ,t,, <br />, a� Ev Err <br />ENGINEERING'/PUBLIC SERVICES DEPARTMENT <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />PROJECT NAME: <br />l OCATION: <br />DEVELOPER: <br />Name: <br />Address: <br />Ciry/State/Zip: <br />Contact: <br />Name: <br />Address: <br />City/State/Zip: <br />Date: �z" �"�' <br />Public Works Permit No <br />I �GiGt ,4C1�1 /ec��it� ::�c I,�s _—F'; <br />✓l <br />.= .�i� � F� '��. r.'1! I I) L <br />L �. ,. . <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Improvements: <br />Total of Private Improvements: <br />$ �� <br />� �� ��d— <br />For O�ce Use Onlv <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspedion Fee: <br />,-�, o,� , �a .; �r, r <br />, Rea#er��arjeef�3r8ttteC: <br />(L2 X cos[ of Puh��c Impravements), <br />�9�R�`- -. <br />$� <br />� .�i� ��:5 <br />$ � /J, IO <br />� ZcD co <br />� ��jJ — <br />P�)o-i i::-c��: t <br />r,�c:.��aocrccosic,�-:r;,�rrrc�aic : � <br />i <br />