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r <br /> I���.[�1%T APp9.I�A`i'���! <br /> �F��4CE USE 0�1L9' <br /> � <br /> P€��LgC���USE�t��.� <br /> � ; <br /> Concrete (min. 6'� Y N <br /> � <br /> Asphalt Base(min. 6'� Y N <br /> � <br /> Asphal,t(min. 1�/z'� Y N � <br /> � <br /> Lengtf�(min. 19� Y N <br /> � � <br /> Width (10'min—20'max) Y IV <br /> � <br />� Existing sidewalk. Y N <br /> � <br /> New sidewaik. Y N <br /> I <br /> ADA compiiant. Y N 1-) <br /> � <br /> Expansjon material required. Y N <br /> � <br /> Contigt5ous parking pad. Y N <br /> � <br /> Triang�lar flare{3`W x 7'L) Y N <br /> VisibiGhf r fiangie o.k.? N <br /> � <br />, Side set back(3'min. R.O.W.) Y N <br /> � .. <br /> Plan Re,�riew Fee � <br /> I . <br /> Addat��na!d+�i ssa��a��ai�as�e�ie�ed� �eEtli�Mtt�r�ss l3ir�c�r�rtcf m�a�es n�: , <br />, I . <br />� � <br /> � ' <br /> � <br /> � <br /> UG <br /> � <br /> � - <br /> Permit application approved b • Date: <br /> Page 3�f 3 . <br />