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ENGINEERING/PUBLICSERVICES DEPARTMENT <br />COST ESTIMATE FOR PERMIT FEE CALCULA7ION <br />Date: <br />Public Works Permit No.: <br />s Z3-�S <br />!�,JoSoZ-c�.'i <br />PROJECT NAME: f�O�iLD�� I���� <br />LOCATION: / / L / �ver�r.�ee•� ��c�'../ <br />v / — <br />DEVELOPER: <br />Name: <br />Address: <br />City/State/Zip <br />Contact: <br />Name: <br />Address: <br />City/State/Zip: <br />f'�OA�/ZOa� �9'h�� <br />/Sov C �-� ,v�-// �� <br />%'e/%'��lLi���7 �/� i'�'�'.' � <br />T�� ��'��„�� i s�•��4 -s�s <br />6z.5 �S/�e,i lfr�e <br />!� v'r/:�o/ i-o �! , 1/�✓.�/� 9U ' 3.3 <br />Asphaft Paving (Sq. Ft.): <br />Total of Public Improvements: <br />Total of Private Improvements: <br />3l, Z oo s f <br />� �'733,.�C' <br />� y6 6� �� <br />For Office Use Onlv <br />Permit Fee: � — - � �- — i. _.. <br />Asphalt Paving: $ � "/� � ��1G j`�, �f�li ��Z�j � <br />Plan Review Fee: $ /� � / � �59 i4(,tj � ( <br />t� J <br />Inspection Fee: $ � L, �J(� __�� <br />Performance Guarantee: $ j � , Q-�j " � � � �� — <br />(1.Z X mst of Public ImpmvemenLs) <br />�� 7'otal: $ Z�Sv <br />�=VT�SiQ�'I �o.��rl �p' <br />� <br />D:DUBFOOY.�COST ESf-FERFIR fEE CAIC <br />� C�7f � ��'7 `7 �J <br />:.__ _ _. � <br />(I }� r�c� Z �� �Nt _ <br />( � ) -/'iCcv (0 �� �; �G �'/v, <br />