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Flug 23 2006 10:11�M 3606525374 <br />. �� <br />� ENGINEERING/PUBLIC SERVICES DEPARTMENT <br />v Err <br />COST ESTIMATE FOR PERMIT FEE CALCULA'TION <br />PRO]ECT NAME <br />LOCATION: <br />DEVELOPER: <br />Name: <br />Date: Z / 0 <br />p.2 <br />Public Works Permit No.: ��n1r7(n0�i -(,Vj <br />r '.'�. 7��� < � . <br />� <br />Address: �%O a� Z. � S�' � r�-cr� S� <br />City/5tate/Zip: � �'F'�rz.� l �i � � �� 1 2— <br />� zoG- �q9- G 2z <br />Contact: <br />Name: <br />Address: <br />City/State/Zlp; <br />�'IE�C.�G �����AivO IPCInNOIo�/K <br />I�kZ� �, ��� '�e_ (�l � <br />_ �( � ,�� � �-z1n (,J � _ �' �s Z 23 <br />o���«-- P�-�: 3brJ—�s"i—S72.`7 <br />Asphalt Paving (Sq. Ft.): %%`f�� 5 �' <br />Total of Public Improvements: � ,�"6 ��f 9 c o <br />Total of Privaie Improvements: ; 02 O, �[d O�� <br />�� For O�ce USe Onlv <br />Permit Fee; <br />Asphalt Paving: <br />Plan Revfew Fee: <br />Tnspection Fee: <br />PerFormance Guarantee: <br />11.2 X cest of Fuhlic Imprcvemenls) <br />To#al <br />o=_ouaF�oK.ico7 esr�re:nrr rc� uic <br />c� <' <br />� _, � <br />$-1�-5 4� 7 <br />� z �i� %' <br />�-L/ <br />$ .� , � 7_ — <br />I/� <br />