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T <br /> fNGINEERING�PJBLICSERVICES DEpARTMENT <br /> COST ESTIMATE FOR PERMIT FEE CALCULATLON <br /> Date: ��- �5"QS <br /> ✓ <br /> Public Works Permit No.: ' i',' <br /> PROJECT NAME: I�iN`('i C�+"�v�t.(M' �T`f Cil�-/�(GEt�— G���'� _ <br /> LOCATION: ,J�17 1�J � � ���(�'�"�, 10�-E,I�' �g?�DI <br /> DEVELOPER: ��M �/ <br /> Name: <br /> Address: <br /> City/State/Zip: <br /> Contact: <br /> Name: "d�t� W�4F�GNOp� <br /> Address: ���e ���'���� A�� . <br /> City/State/Zip: `���l�l� (�/� �g�� <br /> Asphalt Paving (Sq. Ft.): (�r ?��j <br /> Total of Public Improvements: $_�Cv� � � <br /> Total of Private Improvements: $ Z � , SSU <br /> frrOmceUseonlv _ .� efO�G'�ICU'�1',� �'� <br /> Permit Fee: <br /> Asphalt Paving: $ 9li � _ �ji I r i(� �-°JcJ��e� �.-:L ;�'�. <br /> i_ <br /> � � 7S.(7� - ={ � '�'. ' � ��z'�Z,C <br /> Plan Review Fee: $ :%���'::'��.i C <br /> Inspedion Fee: $ Z3 S I, 7 3 _ Z„ ��� ����-��;G�� <br /> Pertormance Guarantee: $ ��' 2-C�- _ . <br /> (1.2XmstofPubliclmprovement5) � � <br /> Total: $ �22� � ) <br />� <br /> oeovoaooicvcos�esT�r�anrt r�tut I � (,�( C/ I� 1� 1�'��;�l�r � ��l� I i ( o 0 <br /> � <br /> r <br /> �/ �- <br />