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��: <br />ENGINF_ERIA;G�PUBLFC SERVILfS DEPARTMENT <br />COST ESTIM/aTE FOR PERMIT FEE CALCULATION <br />Date: 3� 10 � 2o/D <br />Pubiic Works Permit No.: wlLi} —aU_] <br />PRO]EGTNAME: /`�oRTNt�E57 �r�rti� Pqr, <br />LOCATION: F_,,e�zert� nAA�.� <br />'JEVELOPER: SisqoFRs� 7'�Zo�Sr?T�CS <br />Narne: ��[L F5 t��i�n� <br />Address: 5�3 �/3 �/n,� /,�R� n,i E,J _5� e. ,3 �c _ <br />City/State/Zip: rle� Poz� 1��Flc�i �R 5ZlGD <br />Contact: <br />Name: �,+�e ��s paodF <br />Address: <br />City/State/Zfp: <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Impmvements: <br />Total of Private Improvements: <br />'�/ <br />$ �— <br />$ 19"L_ S� 3 __ <br />For Otfir.e Use Onlv <br />Permit Fee: <br />Asphalt Paving: <br />Plar Review Fee: <br />Inspect(on Fee: <br />Pertormance Guarantee: <br />(1.2 %mst o1' uhAc Imprwemm�) <br />Total: <br />omuraa�¢wsr ��.o[anR r¢e uic <br />S �Z� <br />$ z3" <br />� _S`,'�r <br />$ <br />z <br />s ���s'-- <br />� <br />a <br />/� <br />