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� <br />COST ESTIMATE FOR PERMIT FEE CALCULATIuN <br />Date: <br />Public Works Permit No. <br />� 5 zK <br />PROJECT NAME: �JO����� '��0�+� �� i StF.� L� Vi vld <br />� <br />LOCATION: I03�j0 - �-�� Ave, k/, _ <br />DEVELOPER: _ _ <br />Name: �� Ha� Chc vr k.o <br />Addmss: _ <br />CitylState/Zip: ._ <br />Telephonc: <br />CONTACT: <br />Name: <br />Address: <br />Ciry/State/Zip: <br />Telephone: <br />Asphalt Paving ( Sq. fi) <br />Total of Public Improvements <br />Total of Private Improvements <br />For ollice usc only <br />PERMIT FF,E: <br />Asphalt Paving <br />Plan Revicw Pee <br />Inspectien Fee <br />'E�O� � 0+� c on�ec_ <br />P <br />-:�— <br />TOTAL <br />2�(-Z% C7 — <br />$ 40- <br />$ ii0�' <br />$ /�¢' <br />$ ZDo — <br />$ � �3Z <br />—i- W��-�Z ESTi1�1ATE <br />