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PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> __ �k',•i__:t«ti_-t1a -s..q+r. aal:��T.g`r:r'"-a»-+i•.�:4".' "`?';-yw }wp�.s.'4: "`2y?".P' .1Y. _ .'Sq":tu. .C'.-���_::?�-"��.li :t..ztiT -..}i_:.t':d <br /> icy �:zw r$;.j-d'. .�:.:=�'.yy;•�=� .'��."�3; :`S:}, .+yam::{ «.-A. .»f:e- �.:.h_: <br /> -yw.'i:�'.y - _ �t1 S i t "liv?`:y'�?s:.K,i (.."';;Y,`.• o:i:. -r..Y',�'Y�. <br /> '1 r- :;`�-i <' ��•;a. - - :nJ.+ C.t�f ..5�>tK:y '�}/'. �._ i2v'„`�:N:r^..":_s:r,:w�: <br /> .i~ .<X:S`:".i'�; it�.:�. �:ka�.a.�'�ntik%✓:".. _.LA:d.- ti..,wp.._...:, ....✓y......f..•..�a.. --1» i��e.'c�`=sn_ <br /> Concrete (min. 6'0 Y N <br /> Asphalt Base(min. 6") Y N <br /> Asphalt(min. 11/2") Y N <br /> Length (min. 190 Y N <br /> Width(10'min—20'max) Y N <br /> EAsting 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) 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 /> ...5w- •k`:: ,.1. '.y,. .".°'s'T '�. .':y '1 -.4•:«i' ..:�L. '-G�u'�.i y�y�''fi::. ;��:. <br /> Wo_�' recl�a►.r..�a`n_d.oi:ile`si ��`• i;;':��Sii,fy,ti_ t.., <br /> �AddilJonalYtlescr� t�on4o�sv�o_rk,as_�li�fitiedxb>�Putil�c.. _ ���� :>r:F't,�w-;Y�:r:�:,::�-�:���. a�:,.,,:,��:�.•,�.:�:a <br /> Permit application approved by: Date: <br /> Page 3of3 <br />