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� � <br /> " ,�� <br /> ' J, <br /> _ <.� <br /> C4ST ESTINI�3TE FOR PERMIT FEE CALCULATI�N <br /> Date: � <br /> Public Works Permit No. � ,5 0�Z,[ <br /> PROJECT 1�ANIE: �_�,����=��..1:'.�' ��.�,�i�'.���r�`� <br /> LOCATION: i��v; ;`,.;�� f1,i/l t.;� ` <br /> • � <br /> DE'VELOPER: ., , ,� •� <br /> I�1am�: -- , . <br /> .�ddress: . _ <br /> CitylState/Zip: ` . <br /> Telephone: � �;:'_ % _ <br /> COiVTACT: <br /> Name: � r�1 �/ ,f,�` <br /> Address: r • �' ..� ` <br /> _ --,- <br /> City/State/�ip: f � �- � - , • <br /> �--'� .� <br /> Telephune: 1� '�����1 f��� `C)�' t �; <br /> AsphaEt Paving ( Sq. ft} �._� •- <br /> Total of Public Improvements $ � ���, ��. <br /> 1'otal of Private Improvements $ ;� �,.';, ��{'`- , - <br /> For o8ice use only <br /> PERYIIT FEE: � / + � i� <br /> / <br /> Asphalt Paving � �l' <br /> Plan Review Fee $ �''. <br /> , �� <br /> Inspection Fee � �� J �. �--/ <br /> Performance Guarantee � <br /> (1:2 X cost of Fublic IrTi�rovements) .� � <br /> � - r.. <br /> �" ,/ <br /> T�TaI. � �= _> C ' � <br /> � � ;� � ���� <br /> � <br />