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, <br /> i . - . <br /> , � . . _ - • <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> ' Date: � ��� <br /> Public Works Permit No. 1�J 49 <br /> PROJECT NAME: �� v.��� O� Dr t✓1�4t/� <br /> LOCATION: ��'�f�.a���A'�� �T� <br /> DEVELOPER: �[�j,Q�i�E�T Li���' O� PR--'1�-IGA <br /> Name: �IG+�G���7 {� ��� <br /> Address: g�2f7 ������ � <br /> Ciry/state/Zip: y��I.Q�N� �]QZl�b <br /> Telephone: ��b'� a3�'"�1� F I L E C 0 P Y <br /> CONTACT: <br /> Nane: DA�I D K-�►}l.G� �a RGt�-lTG(��") <br /> Address: � 21�L/7 �a�'f�G'W�h'� �. `�(TB' �� � <br /> City/State/Zip: �rL�r^�A ��«� — <br /> Telephone: C��'� 433' �q7 <br /> , Asphalt Paving (Sq. ft) .�—�=�� <br /> Total of Public Improvements � � <br /> Total of Private Improvements S 34��� 4� <br /> For olTice use only <br /> PERMIT FEE: � <br /> � <br /> Asphalt Paving � <br /> Plan Review Fee a z / <br /> Inspection Fee a � �3 <br /> Perfortnance Guarantee � <br /> (1.2 X eost of Publie Improvements) Pj s <br /> TOTAL S //S?o 3 � �J <br />