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OFFICE USE ONLY <br /> PROJECT APPLICATION <br /> FEE SCHEDULE <br /> GEOPHYSICAL SURVEY $255 <br /> Agreement Annuals <br /> $115 or 15 <br /> ENCROACHMENT PERMIT Time and Material Ti 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 /> !BellHoles,Cross-cuts,Splicepits $100/location .10012- <br /> Bore <br /> 00X2Bore(up to 6"Dia.) $100/location 2�� X Z g p�00 <br /> Bore(over 6" Dia.) $100+$19/in. <br /> DIRT: <br /> 0-100 ft. $100+$0.49/ft. �(�(� �� �X/00 <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/ft. <br /> MSU.-[. Y €TIP <br /> it,•t.,: req€ .wi, ar ::n ', r.v. 1.+»ter, ,-S Y , 3`':or, Y ..gym 4 y wP ti4• <br /> Single Trip $20 <br /> Blanket Permit $90 <br /> Actual Cost <br /> Custom ($160.00 MIN) <br /> TOTAL <br />