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PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> Goncret min.6" ` Y N <br /> i <br /> Asphalt Bose (min. 6") Y N <br /> .Asphalt (niln. I Y2") Y N <br /> Length thin, 19') Y N <br /> Width (10' min—20' max) Y ) N <br /> �i <br /> Existing sidewalk. Y N <br /> New sidewalk. Y �� <br /> ADA compliant. Y N <br /> Expansion m4erial `requhd. Y <br /> GontigiNous parking pad. Y N <br /> Triangular flare (3'W x 7'L) Y N <br /> Vislbllity triangle o.k:? Y N <br /> Side set back (3'min. R.D.W.) N <br /> Plan ReVier? Fee <br /> Additional descri klan-of_vi�a�ri ,as deflr�ocl:b .Pubilc;6` arks birectonin d or.desl <br /> Permit application approved bp:� L/ Date: <br /> C cr' p3C)-F15 <br /> Page 3 of 3 S <br /> r <br /> I <br />