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PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> ..-t"n _:.0 "R. "T' Y.�= '-,'4: - ,q - •Y-i __ Y.l``���'3i.J i'-�-- <br /> II. - <br /> Concrete (min. 6'1 Y N <br /> Asphalt Base(min. 6'1 Y N <br /> Asphalt(min. 11/2') Y N <br /> Length(min. 191 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 /> Expansion material required. Y D, f-c,t1 <br /> Contiguous parking pad. Y N <br /> Triangular flare(3W x 71) Y N <br /> Visibility triangle o.k? f Y. N <br /> Side setback(3'min. R.O.W.) Y N <br /> Plan Review Fee <br /> .AdstitioriaClescrf tiara-_of>v�orkas:de�neclobi`<Publtc-WorksrD'ireci`irr•.anit<or- lesi` i�iee:='�`_'��.:.,:-�-.��� :��=�-v ;;,>='.'�=, :-�` <br /> t_o tiJ D45- <br /> 5'"'o fwt w�,7"E <br /> Permit application approved by: Date: epk <br /> Page 3 of 3 <br />