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COST ES �'IMATE FOR PERMIT� <br />er <br />Date: <br />Public Works Permit No. PW oz.u.1—odZ <br />PROJECT NAME: _���C,�� F�� L{��E <br />LOCATiON: "1 Q�h77 �FU��%�,�t,= h� \�L{._ <br />� — <br />DEVELOPER: ��_ q�� `.�,�\� __ <br />Name: ��h� L A-1.1C <br />Address: <br />City/State/Zip: <br />Telephone: <br />CUNTACT: <br />Name: <br />Address: <br />City/State/Zip <br />Telephone: <br />�� '�- -� <br />• , . ��l�l +. <br />f�ar . . ' 'i • <br />. <br />Asphalt Paving ( Sq. ft) <br />Total oi Public Improvements <br />Total of Private Improvements <br />PERMIT FEE: <br />For ofTice use only <br />Asphalt Paving <br />Plan Review Fee <br />Inspection Fee <br />Performance Guarantee <br />(I1 X cost of Pubtie Improvemena) <br />TOTAL <br />E <br />$ <br />$ <br />