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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 or <br /> Time and Material Time and Material <br /> M2ROW <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 /> la <br /> Bell Holes,Cross-cuts,Splicepits $100/location <br /> Bore(up to 6"Dia.) $100/location <br /> Bore(over 6" Dia.) $100+$19M. <br /> ✓' ;.r., a�. Es§s .t;i v. pis gl°s3 �::xi ."3 �, � .� :;`,3�. �° a$ <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. I bc� t (40-4,9 K 50, 13 4- S- <br /> >100-1,000 ft. +$0.40/ft. <br /> >1,000 ft. +$0.20/ft. <br /> 'C�SF'bR�'A"FfO�f� R�TS` <br /> Single Trip $20 <br /> Blanket Permit $90 <br /> Custom Actual Cost <br /> ($160.00 MIN) <br /> TOTAL Z`j�, S <br />