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. , - ENGINEERING/PUBLICSERVICESDEPARTMENT <br /> � � � <br /> � _ P Vv �2o3—oc�� <br /> COST ESTIMATE FO�. PERMIT FEE CALCULA7'ION <br /> Date: � c f Z <br /> Public Works Permit No.: <br /> PRO7ECTNAME: _ �e.�e_,,;+�i �P,,.ac„ut C�uS�Y �v`�d/U/S/�^ <br /> LOCATION: � O(o3Z �-�/riiLSF�V�2efT 9�� (� <br /> DEVELOPER: 1«r,( I-�r,�se.v� <br /> Name: � � , r� <br /> Address: t-��-nj (,l) <.J �,,,,�-„r� <br /> City/State/Zip: �c1�tZ.EiT I� r�A-. Q 8Z03 <br /> Contact: <br /> Name: � i I rJ [�-5���/ � /�-{��-,R G��- <br /> Address: (�-D37, 3s�'`' ✓tv�L-. 5� <br /> City/State/Zip; �o'nEti.c�. w� �P�01Z <br /> Asphalt Paving (Sq. Ft.): G, 3 00 <br /> Total of Public Improvements: $ ��5 � <br /> Total a� Private Improvements: $_� �}3�- , a`� <br /> � � <br /> —-� - ------ For Offce Use Oniv —_--- _ — <br /> Permit Fee: � <br /> J/ <br /> Asphatt Paving: $ <br /> � <br /> Plan Review Fee: $ ,//J�"� i <br /> Inspection Fee: $ 2 //� � i <br /> � <br /> PerFormance Guarantee: $ ; <br /> Q.2 X mst of Publlc Improvements) . I <br /> Totai: $ <br /> � <br /> eEoueaooKs�cos'r Fsr-oearrt rte rn�e I <br /> . ��a ; <br />