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COST ESTIMATE FOR PERMIT FEE CALCULATION <br /> Date: <br /> Public Works Permit No. Pw G 3G z-o�S <br /> PROJECTNAME: �'(I�)�.'Q (_,q�� ��.IF Cah1�� <br /> LOCATION: �C1 �(k{ ,��I� �v� <br /> DEVELOPER: Lt�{'l�1�'CT� M � S u 1—�Dt�'�M <br /> ---T- <br /> Name: <br /> Address: I -1 l D l 8Z�`(E�- S't �E �,y-� t pZ <br /> City/State/Zip: �l)'El7-E't� � W � �Q�p$ <br /> Telephone: 42�— ��9i-S�_ <br /> CONTACT: <br /> Name: �-7.4-�1�Q �lJG�. <br /> Address: I�_a td3c1�1ZY�( fhl � <br /> City/State/Zip: ���--( , Wv4 q��� <br /> Telephone: �17� Zf G} �,-�iS ��� <br /> 7S <br /> Asphalt Paving ( Sq. ft) �C7i�'J' l'J� _ %� �— <br /> Total of Public Improvements $__ �� "'14U, �5O <br /> Total of Private Improvements S�� .Q,�� - " <br /> For officc use only <br /> PERMIT FEE: � <br /> Asphalt Paving $ <br /> � <br /> Plan Review Fee a 9�q 1— <br /> L?- <br /> Inspection Fee $ /%5'C'� <br /> Performance Guarantee $ <br /> (I.2 X cos�.of Public ImpmvertKnts) <br /> Og d <br /> TOTAL $ .3C��_ ��/�v <br /> I I %c) <br /> ��,, <br />