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i _ ___ �--�-- -_-- - _--.-__ ----- <br /> � <br /> ENGINEERINi�/P�'lBLIC SERVICFS DEPAR.TMENT <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: �/Z� Zad� <br /> Public Works Permit No.: G5�OS� <br /> PR07ECTNAME: 5��v�RS DU�� R�T'�41L, <br /> LOCATION: �F`C. �.�P6T d� J�PdZDE504-�ISIG�V6R5 DV�C,Y <br /> DEVELOPER: AC�i � AS'���FTES INT Ed1q� <br /> Name: �I G K �O�L <br /> Address: )1d05 Nlhl 51��lI.M141J11 Sla P.DAd7 �lU-1 <br /> ciry/state/ziP: 155A61vh�. VJAt QSbZ� <br /> Contact: <br /> Name: �,�EFr J L�r1kS �R�ID MIDDL�AI <br /> Address: '�Z� 1?jd''f1� l'j'r. tj•w. $(�• �D <br /> City,/State/Zip: ��V ERE�, w/� g az0`�" <br /> Asphalt Paving (Sq. FC): ��� 8� <br /> Total of Public Improvements: $ � �. �T'�'Q <br /> Total of E'rivate Improvemenks: $ 7 <br /> For Office Use Oniv <br /> Permit Fee: �= <br /> Asphalt Paving: $ � <br /> Plan Review Fee: $ / �� Z I <br /> inspection Fee: $ Z 7G 5 �`� <br /> Performance Guarantee: $_, <br /> (1.2 X mst of Public Impravements) J' 7 <br /> "*/ <br /> Total: $_ �� 1 �/1 '— <br /> OEDUaPJC15,'CG,ESi-0EN�RfEEULC <br />