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<br /> rPERMIT APP,LICAT.ION •
<br /> �O�P.ICE:USE�ONL�If
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<br /> �.ra$=
<br /> Concrete (min. 6'� Y N
<br /> �Asphalt�Base(min. 6'� Y �N
<br /> .Asphalt(min.�.�/.z� -Y �N
<br /> �Length (min.�.9� Y N
<br /> Width (10'min-20'max)� Y N �
<br /> F�cisting sidewalk. Y �
<br /> i
<br /> New sidewalk. Y N
<br /> ADA campliant. � Y N N �
<br /> � F�cpansion material required. Y N -
<br /> Corrtiguous parking pad. Y N �
<br /> Triangutar�flare(3'W x 7'L) Y N -
<br /> Visibility triangle o.k,? Y N �
<br /> Side set back(3'min. R.O.W.) Y N
<br /> Plan Review Fee
<br /> . ,__-.:..�. �.._ . _.. -
<br /> ,,...M, .�: .r?.�rr•'s'� '.u� ,�..`..^�,i��«, ys�,•t e�il:::; �.„� t:. ���� v �4;a��.<.r;...,n.c;?:.:.:.._ �r.ir '-.r.:a�,�.:y,;.:.,��,M, ,�� <
<br /> �r�i�o�'�"'"es� '�on�,�ir.�t�c�s�efr��b, ��'7��1fT�a'��ir.ecl�r,�ir�il�r�ies ee;�'���..Y.��.�"�`� �.�����`
<br /> �� �c�S � c�4 '�`� Kr
<br /> Perrnit appl'catian approved by: Date: ��
<br /> P�ge 3 af 3
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