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� <br /> �.._, ENGINEERINC�PUBLICSERVICESDEPARTMENT �, <br /> �.EY f,,. j.. ,� I <br /> �,. <br /> n7 G -OG��. <br /> COST �STIMATE FOR PERMIT FEE CALCULATION ` ---"—� � '� <br /> � <br /> ' l�' ' /.���� `�� � <br /> ��� Date: T B � � <br /> - �— Public Works Permit No.: <br /> PRO]ECT NAME: Pfryr� — �DKrnrC�sr.e��m�k� <br /> LOCATION: t�uz-t� �yh' EYr--,P.Err� i,14 981.0/ � <br /> DEVELOPER: <br /> Name: �avi�lF,v�E �1'EpL�i�'r?fl.il.�,a�. i'F.�..t'.a <br /> Address i?z/ �«rry ,avEKUE <br /> City/State/Zip: �,�rr� ti)A 9Szo� <br /> Contact: <br /> Name: �o�rR,�.nF���,., <br /> Address: �.3T i <cr.,r;�AuFN�,,c � <br /> City/St3te/Zlp: L'urh�rT- i.lA qifZ��n <br /> Asphalt Paving (Sq. Ft.): _ <br /> Total of Public Improvements: $ <br /> Total of Private Improvements: $ <br /> YY1q55�rGAViinnr.f TorNL_ /.� C?�D Gt t �� �o�i �, p <br /> _- - _-�_-�.-- --- --� � <br /> For 0(fic�Use Onlv <br /> Permit Fee; <br /> Asphalt Paving: $ <br /> Plan Review Fee:5 6�,Y�.o i j $ 1 S. o <br /> Inspection Fee: S��o X a.0 3 �.___.`� • � _. <br /> Performance Guarantee; � <br /> i1�X mst of Puhl!c Imprevements) <br /> Total: $ �� O �Z, o <br /> 'J:�UBROOK:'C04 E4�CiF'IR FEE UlC <br />