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y PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> �V1tORKS,.USE:O L,r - <br /> Concrete (min. 6') Y N <br /> Asphalt Base(min. 61 y N AvLk 9: <br /> Asphalt(min. VjYj ('.Y N <br /> Length(min. 191 y N <br /> Width(10'min 20'max) N <br /> Misting sidewalk.. Y N <br /> New sidewalk. Y N <br /> ADA compliant. Y N (t5c�jii,C: . <br /> Expansion material required. Y <br /> Contiguous parking pad. Y N <br /> Triangular flare(3'W x 71) Y N <br /> Visibility triangle'o.k? Y' ) N <br /> Side set back(3'min. R.O.W.) Y N <br /> Plan Review Fee <br /> '-�s:.'�.rf'" �°":�r;a -,- -•_�'sue-- 4:�-"-..�-s.^ - �:�s;. _ `_rs�� �..s.-_'a,:.�;;_ - - -�: a�°.•x�g.a�:"�.`fi^}�•:a:1;`Yi-x'e'+-y;:� <br /> ��Ad tton I des�►� t F t 4r•and `r�des� nee. :,�'".�;�. ;•;My,-.` <br /> d a . c_ tron of ui►ork:asdef ned.b PubtNc,=Warks>D�recta .. ___� ! _-- _... �:: ;c..: <br /> Permit application approved by: -- Date. <br /> Page 3 of 3 <br />