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<br /> ,__. E�E[�MIF APPtICATIt)N
<br /> OFFICP USE ONLY
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<br /> Concrete {min. 6`� Y [Y
<br /> Asphalt Base{min. 6"} N
<br /> Asphalt{min. 1�li"} Y N
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<br /> Lengtt�{min. 19'} Y N
<br /> INidth(10'min—2t}'max) Y N
<br /> EXIS�IRJ 5�{�@W�I�C. _ N
<br /> New sidewalk. Y N
<br /> ADA compliant. Y N
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<br /> E�cpansion material requirecf. Y N '
<br /> Contiguous parking pad. Y
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<br /> Triangular#iare(31N x?'L} N
<br /> Visibility triangte o.k.? Y N
<br /> Side set back(3'min. R.O.W.} Y N
<br /> Plan Review Fee
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<br /> Permit application approved by: Date:
<br /> Page S of 3
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