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� PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> _ -- . _ -"�`PUBLIC.WORKS USE:ONLY.._`r. -=- _ - <br /> Concrete (min.6'� Y N <br /> Asphalt Base(min.6'� Y N <br /> N <br /> Asphalt(min. 1�/z`� Y N <br /> Length(min.19� Y N <br /> ' Width(10'min—20'max) Y N <br /> Existing sidewalk. Y N <br /> New sidewalk. Y N <br /> ADA compliant. N <br /> Expansion material required. N <br /> Contiguous parking pad. Y N <br /> Triangular 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 /> :Addition`'al:desc�i`tiori�of:work as d`efned°ti ,P,uiSlic Woriis DirecEor.arid�or desi neee._. �. - - <br /> 0 <br /> ti <br /> Permit application approved by: Date: <br /> 0 <br /> �J� <br /> Page 3 of 3 <br />