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� ENGINEERING/PUBLICSERVICESDEPARTMENT <br /> �� � <br /> ?,�>: <br /> r ' <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: �/`��°7 <br /> Public Works Permit No.: i�i,�Ju�� ��-�r� �, <br /> PROJECT NAME: �� � MA�+JA6�M�t.i�' a�_ lt�i � <br /> LOCATInN: �EY�t�Pc`'J_ �NT�'12- L.�T � <br /> DEVELOPER: ��C MP�E�(�/I�1�5' <br /> Name: <br /> Address: �oSZ� S� 17��t� ��T <br /> City/State/zip: �(o��� 06Z. °I"72'L� <br /> Contact: <br /> Name: �t�'�1 � ���'2C��C.Y�1 ��V--G l'-E"P� <br /> � <br /> Address: ?l" 7'!J'rD M �i•f"(—� VII.i.Iq- � <br /> city/state/zip: ��.1� � �� ��IJI <br /> Asphalt Paving (Sq. Ft.): 3Z , 2 !� Sf <br /> Total of Public Improvements: $ 3a 'G�JS <br /> Total of Private Improvements: $ ��b ��Z� <br /> For Offce Use Onlv <br /> Permit Fee: <br /> Asphalt Paving: $ <br /> Plan Review Fee: $ <br /> Inspection Fee: $ <br /> Performance Guarantee: a <br /> (1.2 X ms!of Public Lnpravements) <br /> Total: 5 <br /> CFGi:i:R��Ov.�:CG�C4-FE0.MRPEEG:LC 'f I� <br />