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HomeMy WebLinkAboutRS042141_Road Fee ReceiptBuilding Permit Road Fee Calculation Worksheet No: RD2005-0108 SECTION 1: General Information Today's Date 07-25-2005 Applicant Name SCOTT & DE BORAH PLEVAC Applicant Address Telephone Validated by AC Status APPROVED Legal Description; TR. 15346 LOT 5 Additional lots: Job Address: 1 PELICANS DR., NEWPORT COAST Description SFD — 1 Rclated Permit RSO42141 Total Payment Due $3,970.00 SECTION 2: Road Fee Calculation (THIS WORKSHEET MUST BE PRESENTED TO PFRD-CASHIER FOR A RECEIPT) Foothill Circ. Phasing CARITS Fee Program Fee CodelZone Payment ➢ue Fee Credits Fee Code/Zone Pavment Due Fee Credits 3011/Z1 3035/2A 3012IZ2 3036/2B 3013/Z3 3037/2C 30141Z4 3038/2D 30151Z_+ COMMENTS. ROAD FEE PAYABLE: SJHTC-A @ $3,970.00/DU EFFECTIVE 7/1/2005. a16/u 3017IZ7 3018/ZS 3019/Z9 Other Fee Programs Fee Code Due Fee Credits 3022 Portola P�11k-,��1LionPayment 3023 Bridges Road Fee 3024 El Toro Road Fee 3026 SJ Hills Corridor $3.70.00 3027 Foothill/Eastern 3028 Moulton Parkway 3029 Laguna Niguel 3039 Santiago Canyon 3050 Ave La Plata 3010 Other Road Fee Code Local Parks Local Parks TOTAL PAYMENT DUE $3,970.00 NOTE: PERMIT MUST BE ISSUED BY 06-30-2006 OR FEES MAY INCREASE. These fees are valid based upon the information provided on the previous page.__ MAKE CHECK PAYABLE TO COUNTY OF ORANGE. PERMITTEE MUST BRING A COPY OF THIS FORM ALONG WITH A FEE RECEIPT_TO TI@ PDSD PLANNER (1 ST FLOOR) IN ORDER TO BE ISSUED A PERMIT! For PFRD Use Only q Date A roved Bv: