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Q <br /> PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> _"i-':z.,, - _ _n_ ^_..ai;'•. -�:r...._;.ti,-,..- �-r... :-.tea`. ...v�...•�..,.._ _.^�v.�,.r-��•-_.:m .,� ,Y'-:Y>s ,,:�_:.rr_�:'s..� - - - -- - <br /> Concrete (min. 6'1 Y N <br /> Asphalt Base(min. 6'1 Y N <br /> Asphalt(min. 11/2') Y N r <br /> Length (min. 191 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 _N - <br /> Contiguous parking pad. Y N <br /> Triangular flare(3'W x 71) rY N 3 X �gTbE Sl`bES <br /> Visibility triangle.o.k.?, 'Y N <br /> Side setback(3'min. R.O.W.) Y N <br /> Plan Review Fee <br /> ;�lddit�onal�descr� tronofyyork4as:,defn�ed�b P�util�cwW,ork_s D�rectorandsor;��lesi nee.:�;:_-3F:� ��'�;;��;�-,1==F:�;��: �.,;.��Y;; <br /> Permit application approved by: Date: (-�tq <br /> Page 3 of 3 <br />