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/ > � ��-' , � ,�, <br />�✓�_� f-;, ��ll�� lI4.C.I.:2IlVC�PUB! r�, srn!-�CES l�l =�'..��,'? � ���IrNI ' <br />�QvyS <br />COST ESTIWIATE FOK PERMiT FEE CI�LCULATIOI� <br />';-:OJECY NAI�L <br />� 7CATION: <br />�'�i=VELOPER: <br />fJame: <br />Address: <br />Ciry/State/Zip: <br />�;,,�,ac�: <br />f�lame: <br />Da�e: � �4; ;� i.: <br />�-- <br />f'�;�o�i� �;;�c,'�:_ �_,r,�l�� i;�_.: f'w U�,,�U C,c,l <br />� � 1��! � ,. <br />�-:.,. <br />��� C'�\v_1�- � ;: ;.� : �.. ,,,•_, _i+, .._;-1 `1b 1�,� <br />L �:� ��.u-, H o�,�.5 ,J. w . _ <br />1Q,I�v S. �.°�►:.�e- ��{-�,,,e��5 2d. �u�4c :2GC <br />� S�cizns� wr�_ 98�5 <br />C�1zs) 33y-o5�3 <br />_. �% �+t. � � n 5:,,,..,' <br />Address: (3�G� H�..-� 5`1 �U-��. <br />C�iy/State/Zip: Ev �, e. ii � wl� i� �O�( --- <br />;asphalt Paving (Sq. Ft.): _5 � c __ <br />i otal of Public Improvements: $ �I �� S��� <br />�-otal of Private Improvements: :p /' <br />,_: — _- - — - = _-=_—_ _=_--- -- - <br />For O�ce U=_e Onlv <br />ic Fee: <br />Hsphalt Paving: <br />Plan Revie�v Fee; <br />insoection Fee: <br />P•��fiormance Guarantee <br />_ . _. ,_ �����;, <br />� <br />`) s <br />$ %1 7 � -- <br />iy(" <br />� /-i5`S � <br />� <br />Total: �_ <br />4 / <br />��,: ' - <br />.;... . w_. _ _; , . <br />� �� <br />`� 6 <br />