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ENGINEERING�P!/BLICSERVICES DEPARTMENT <br />COST ESTIMATE FOR PERMIT FEE CALCULATION <br />PRO]ECT NAME: <br />LOCATION: <br />DEVELOPER: <br />n�I I 04� �I i <br />I" <br />Date: �� ��� / / <br />Public Works Permit No.: <br />�,��c,� C..�� <br />�a3o 3 r,ve!-`,-�6r� �ve, � S� <br />Name: ��� L✓�ovtS� Ve5�5 �.. �t�� <br />Address: �� Z- � � � �� S�' <br />City/State/Zip: �U-ti�� � � li`l � �� 2- � <br />Contact: <br />Name: <br />�.. � I�''1 U ti C� <br />Address: 3 �—�� �� � )L <br />Ciry/State/Zip: �`Q . w'v � � Z <br />Asphalt Paving (Sq. Ft.): <br />Total of Public Improvements: <br />Total of Private Improvements: <br />Permit Fee: <br />Asphalt Paving: <br />Plan Review Fee: <br />Inspection Fee: <br />Performance Guarantee: <br />(1.2 X cost of Public Improvements) <br />Total: <br />�CDIlBPODYS(COSTCST�CE0.MITFEECAIC <br />For Office Use Onlv <br />� ��a � <br />� l�',az <br />� 3 ��' . �t'`,�- <br />y� \� t� -T. �' t> <br />