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PERM-IT APPLICATION <br /> OFFICE USE ONLY <br /> Concrete (min. 6'� Y N <br /> Asphalt Base(min. 6) Y N <br /> Asphalt(min. 11/2D Y N <br /> Length (min. 19D 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 N <br /> Contiguous parking pad. Y N <br /> Triangular flare(31N x 71) Y N <br /> Visibility triangle ok? Y N <br /> Side setback(3'min. R.O.W.) Y N <br /> Plan Review Fee <br /> dktonai desert tio 'w-ik-b "Zifectd0"i, nee:., <br /> Permit application approved by: Date: <br /> Page 3 of 3 <br />