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� <br /> � • . <br /> ' �� PERMIT APPLICATION <br /> OFFICE USE ONLY <br />� -- `a:,� - - =�- _ -_ - - -_ -- -_ - - -- -- _ -- = =. <br /> - - - - - _p - _ - ----. <br /> UBLIC.:WO .O �Y�.�'.:� . <br /> . - - RKS:USE NL - <br /> , . .. ;,� .:, <br /> . <br /> , . :.: .,.:. .,,.:�. <br /> .:. � <br /> .;:..:..= <br /> � . ._�,rr � „.:,.:y.� _ ._ �_:;::� -- - - <br /> Concrete (min. 6'� Y N <br /> Asphalt Base(min. 6'� Y 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. Y N <br /> 6cpansion 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.) Y N � <br /> Plan Review Fee <br /> ...�:,-i..«...l:�r,.:?z,;..F�:-':T_:,-::":1"�'�::i�,..�•:.::�n: .."-.».Ar,_.v._ " __ ' = _ _ " _ ' - ' -_ �__- "_'-_ _ <br /> ;Additiooal;descr� hon:of:_°work,as;defined'li,`:PuliliclNorks�DirecEor.and�or�desi nee:''.'=�'=;�=s,";-��'�'�: '.-_ - <br /> E <br /> Permit application approved by: Date: <br /> Page 3 of 3 <br /> �,..�--.�_-„ _R..`..�.�_.: I_ a�,�,_�.-�—._Bm,,�._a.�,�f==�.�a .- .-r_ _-_�.-�,.-r_-_-.��_-__-�.� �_v.,��_�,�.,.�-�.:�. �-:. ����_ __��.��b,. <br /> i � <br /> i � <br />