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: <br /> ', PER�+IIT APPLYCATION <br /> . : <br /> oF�zc� usE aN�.Y <br /> .. . _, .... _ .. _ - . - - - - <br /> - � . - - - �!UBC:�C.11{F�RKS;U�E=;`�?N�Y._�, � : = � � .. : _ .., <br /> Concrete {mir►. 6 Y N <br /> Asphalt Bas�{min. 6�} Y N <br /> � <br /> Asphalt(min. 1�1z`� Y N <br /> E.ength (m�n. 19'} Y N <br /> Width(SO`mfn—20'max} N <br /> F�cisting sidewalk. Y N <br /> IYew sidewalk, Y N <br /> ADA compliant. Y N <br /> Expansion material required. Y N 7" � �+ � �^' <br />� <br /> Cgntiguous paricing pad. Y <br /> Triangular flare(3'W x 7`L} N �T�f ,�'/p}C�"',�' <br /> I� Visibility triangle o.k.? iV <br /> Side set back(3'min. R.O.W.} Y N <br /> ' P(an Review Fee <br /> � �.6W __ r.t:3 �,'�:4��P=:r,•i`'?:�.�`�"r.^ �s`;&.' u:�:-J,aVm3< <�y... *'1«£".«�=-z ' 'ti,"z.0 ^.ffYxiP'.it.. _..�� - .,y: - <br /> A';,-%i onat:i#`escx� �o '�` 'r '��' � ,, _ :..�;�,�•...r:�;s��;� ..a;:.�_._: <.;::,;;..,._:- - <br /> .d i#�.. S 1� n�s�f.wo�tc as:d n�d. ��Pu6lic�iN �ks;�irec`to�r�:andfaf�des�"n�e t:��- :�` <br /> o .r���t.�:. ,. <br /> SE' 7Z' <br /> . <br /> Y <br /> Permit application approved by: Date: <br /> Page 3 of 3 <br />