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�= , <br /> F�E RMIT•APPLICATION <br /> OFFICE USE ONLY <br /> .- - ':-- 'NE_,:.. - - . ; -�PUBLIC=WORKS USE.'ONLY`,- - - -�-- .- -== - - : - _ _ . <br /> Concrete (min. 6'� Y N <br /> Asphalt Base(min. 6'� Y N <br /> � <br /> Asphalt(min. 1�/z'� Y N <br /> Length (min. 19� N <br /> Width (10'min—20'max) N <br /> Existing sidewalk. Y <br /> New sidewalk. Y N <br /> ADA compliant. Y N <br /> F�cpansion material required. Y N <br /> Contiguous parking pad. Y N <br /> Triangular flare(3'W x 7'L) N <br /> Vsibility triangle o.k.? Y N <br /> Side set back(3'min. R.O.W.) N <br /> Plan Review Fee <br /> _.-:�.,.- _-_--...- .;,:.-_ -. ..,;...,,F ,_._.. . ._ . ..: .. __.-- - - - -- _= - - - <br /> ..,_....-- <br /> Addibonal:de'scri`tion,ofwor.k�as.defined.li'-<Putilic:]NorlisDir.ector�and_ordesi�nee:;''-`,.,..,v,-:-'^_�:'�_;a'_::,�::.��::�:::;�;:.'� <br /> S EE 'I.�dTCS 0 S(C �C�°�f P�o"� t� <br /> c <br /> Permit application approved by: Date: 3 � <br /> Page3of3 <br />