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� f� - <br /> , �G��`.;r, <br /> �UN , , COST ESTIMA'TE FOR PERMIT FEE CALCULATION <br /> �'/Ty r � <br /> A��r�UF�.., , , i� ' :; <br /> 7% _ j/��i '� Date: � � d ,� _ <br /> ��:,;_ ";:.af t:% <br /> �;:��.-• ` �:>,. ! <br /> `��' PublicWorksPermitNo. WdSoG-Glv <br /> ` <br /> PROJECT NAME:�I_�_'..7�(G��1,?�=1=l�:� �lLl LD�f�I(� -- <br /> LOCATION: l C:c�-x� T'l �v-� ��''�.—� <br /> D�V�LOPER: l lCa�� � �.1Lf/ ��-'l.la�E''� __ <br /> t�am�: I 9oZ'D /c��S� lU 3 Q�197Ni�� Sf::.. `i7�,: �''� <br /> , ....� <br /> Acdress: <br /> Cit /State/Zi F', '' � <br /> Y P� -tri'!`�"�. �.�-�A->.:-, <br /> 'I'elcphone: � 3�7:7�c7 L'..� <br /> CONTACT: <br /> Y <br /> / <br /> Name: �:L7 _ �'�f"��`':�--�ta:� F,----- <br /> Address: �� �.JS.�/7fAd~�.-Ufi' '-� <br /> City/St�ue/Zip: �.U�i-�t.t��sl�)��� i'� _ `"�S�:7i� � <br /> 1'elcphone: o� S�i'-- ���C� I <br /> Aspitalt Paving ( Sq. ft) a�aso <br /> oa <br /> Total of Public Improvements $�_� �O �� <br /> Tota( of Private Improvements $ � <br /> ro�orr���te on�,• <br /> PERMIT FEE: <br /> �-- <br /> Asphalt Paving $_ , (. � , <br /> i� <br /> Plan Review Fec $ �f'n � <br /> J U <br /> Inspection Fee $_�G-/f`' � <br /> I'erforniance Guarantee $ <br /> (1.2 X wst oi Public Improvemems) �,� <br /> TOTAL $ S��S"i=-/ <br /> �,o <br />