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>:"�'� <br />�. <br />�.� <br />�- : . <br />: c1'l :�' • : �a' i� i : - - - : <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />PRO7ECT NAME: <br />LOCATION: <br />DEVELOPER: <br />Date: � 0 v r <br />Public Works Permit No.: p 1 D�t 1- r3 3� <br />Name: <br />Address: _ f C^ I G� ��r �.�i� /�!?':c,�l'_ <br />Ciry/State/Zip: _ �'��il� ��" (',( l�l �In..�J � <br />� � <br />Contact: <br />Name: <br />Address: <br />City/State/Zip: <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Improvements: <br />Total of Private Improvements: <br />I�,�-S� � <br />$ 0?0; 330' <br />$ �1�� 97�� -_ <br />For Ofiice Use Onlv <br />�ermit Fee: <br />7S <br />Asphalt Paving: /g �y0 XD, QD� $ �4 —� <br />Plan Review Fee: 4� 3UDX p, p1y � 7Q9 S� <br />` <br />Inspection Fee:� i jppxC>, b;� � IL�/ 9 00 <br />Performance Guarantee: <br />(1.2 X tost of Publfc Improvements) <br />Total: <br />� ,2az3 �S <br />�p� � 3D <br />� �,�, � 70 <br />_----- <br />�7�3oU <br />oeoUeaooWcosr���rnwRrc[ u�c �7� � <br />��J <br />� <br />