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OFFICE USE ONLY <br /> PROJECT APPLICATION <br /> • FEE SCHEDULE <br /> GEOPHYSICAL SURVEY $255 <br /> Agreement Annuals <br /> ENCROACHMENT PERMIT $115 or 115 <br /> Time and Material Time aterial <br /> Driveway with or without pipe $95 <br /> Driveway with Box Culvert $155 <br /> Paved Frontage $100+$0.46/ft. <br /> Curb,Gutter,and/or Sidewalk $100+$0.98/ft. <br /> Bell Holes,Cross-cuts,Splicepits $100/location <br /> Bore(up to 6'Dia.) $100/location <br /> Bore(over 6'Dia.) $100+$19rn. l <br /> DIRT: <br /> 0-100 ft. $100+$0.49/ft. <br /> >100-1,000 ft. +$0.30/ft. <br /> >1,000 ft. +$0.10/ft. <br /> PAVED: <br /> 0-100 ft. $100.00+$0.69/ft. <br /> >100-1,000 ft. +$0.40/ft. <br /> >1,000 ft. +$0.20/fL <br /> 7S7ingleTrip $20 <br /> Blanket Permit $90 <br /> Custom Actual Cost <br /> ($160.00 MIN) <br /> o a. <br /> TOTAL <br /> ,i <br />