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FEE CHECKLIST WORKSHEET <br />Received by:CD CE. -SAPIN #: /O / 3- 0 2 5-3 <br />FEE TYPE REQUIRED <br />Yes <br />Plan Check Fee 21 <br />Disability Fee U <br />SMIP Fee EJ <br />Res. Dev. Fee u <br />Fire Facility Fee m <br />School Distr. Fee m <br />Microfilm [3- <br />FCWP Surcharge El <br />CALCULATION AREA <br />COST/SQ FT X TOTAL SQ FT = VALUATION <br />Counter computations/valuation $ , S-©-0€Ztd--- ---A¥* 1-{CAOT- 244&-OAChoe./ <br />Pian checker computation/final valuation $ <br />F05 1-10-03