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COST ESTIlVZATE FOR PEliNll1' FEE CALCULATlUN <br />Date: <br />�...5—O/ <br />PublicWorksPermitNo. �►,�0/0,3-(703 <br />PROJ�ECT NAME: __Fvs.P�rS �T/ FFY LUBE Fi#GI C./ry <br />LO�ATION: 9f3D,,���. Cl/EC�77' fi/��5/W/4y <br />DEVELOPER: <br />Name: <br />r� ddress: <br />I :iJ / <br />�.. � � � � . <br />i,i ,��i �.� :�. ' � <br />c;riisr�c�z;p: ��yyrr��, wA. �n,�?-L9�e <br />Telephone <br />CONTACT: <br />Name: <br />•; .. <br />u • . ... : - <br />♦ . <br />Address: 4� S. 1$BTl�1 S`lQEE'[��UI'fE 3L0 <br />city/state/zip: SEOr.�'1�, G✓A �$ lol <br />Telephone: �Lq3 � — �� <br />Asphalt Paving ( Sq. ft) %�. Sb0 <br />Total of Public Improvements <br />Total of Private In:provemenu <br />PERNIIT FEE: <br />For o�ce use only <br />Asphalt Paving <br />Plan Review Fee <br />Inspection Fee <br />Performance Guarantee <br />(1.2 X cosi of Public Impmvements) <br />TOTAL <br />�, _ �� � • <br />� •.• • • <br />$ / � 7 S� � <br />$ <br />�= <br />$ �f3f3G� <br />