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a , <br /> � EN('i1NEERING/PUBUCStRVIC�SDEPARTMQ'rT <br /> � E,; <br /> s;� <br /> COST ESTIMATE FCiR PERMIT FEE CALCULATION <br /> Date: _7� <br /> Public Works Permit No.: ��v 0SG 7 c,L-� <br /> PRO]ECT NAME: <br /> LOCATION: <br /> DEVELOPER: �/LC aU G�r Cq.-�p� <br /> Name: <br /> Address: �'�J�3�- — 3'��Av�c. �S c` <br /> City/State/Zip: <br /> Contact: <br /> i <br /> Name: f�- �C <br /> Address: �t1i'.g- .�'=`��vc .S F <br /> City/State/Zip: E.�7� QZ S-:�5,� - �S2 Z <br /> Asphalt Paving (Sq. Ft.): 39� �2v " �gnd <br /> Total of Public Improvements: $ <br /> Tot�.l of Private Improvements: $ /Z, O¢C� <br /> —� <br /> For Office Use Onlv <br /> Permit Fee: <br /> Asphalt Paving: $ <br /> 3y� c� <br /> Plan Review Fee: $ <br /> 20 <br /> Inspection Fee: $ � � � <br /> (�0 <br /> Performance Guarantee: $ �9d � <br /> (1.z x cost of Pu61ic Improvements) b„� <br /> TOtOi: $ S/ J <br /> DEDqER001WCO5T EST�DERMR FEE GlC ��,/ <br /> l <br />