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PERMTT APPI.ICATI�N <br /> �o �� c� % S�' <br /> �. � <br /> OFFICE USE ONLY <br /> PUBLYC WORKS U$E.QNLY- - _ -. - - - - _- - - - -- � , <br /> - - _ - - - --.�=e.,, :..�.. --- ~' <br /> � <br /> Cflncrete min.6'� � Y.. N � <br /> Asphalt Base(min.6'� - Y N � - - - - - - <br /> - - :� <br /> Asphalt(min. 11/z'� Y N ` , <br /> l.ength (min. 19� - N - - -- -- <br /> � -- - - - _-- - <br /> Width 10'min-�0'max) -- Y N --- --- - -- <br /> - - --- ------- -- --- -- - - <br /> ---_ -- -- - : -_ - _- _ - - - --- � <br /> Existing sidewalk. Y N <br /> -- - -- . .. _ <br /> _...� - - - --- - - - - --- -- <br /> New s(dewalk. Y N - - - -- - - - <br /> - � �. _ � , <br /> ADA compliant. Y N � - <br /> - --- - � - - - - - -. <br /> - - - - - <br /> - -__ ----- - _-- - - <br /> Expansion material required. Y N - "- - <br /> ---- - - -- - - - = <br /> . - - - - . _.. __ <br /> Cont uous parking pad. N - <br /> iTriangular flare 31N x 7'L---- --- -, ,-:Y N - ---- - - - _-- -- - _ - -- - --- - <br /> _ <br /> -- - - - - - -- -- --- �--- . <br /> ._ _ .. _ - --- - - - <br /> Visibi{iry triangle o.k.? �Y N - - ` <br /> Side set back(3'min.R.O.W.) Y 'N -- - � <br /> _ . . - - ---- - - --- <br /> Pian Review Fee --'-- _ - <br /> ,Additional-descri tion of w�ork as.defined.�b .Pubtic Vl�orks.DirecCor.�and ar desi iiee; - <br /> -- - - <br /> ; , <br /> Permtt appllcation approved by:. - - � _ - - -_ - Date: -- , _��. ! - -- , <br /> Page 3 of 3 ' <br />