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PERMIT APPUCATION <br /> OOFICE.USE ONLY <br /> {i <br /> Lyi(. <br /> Concrete :(min.60) Y N ;. 6`r ` X OF WAT <br /> Asphalt Base(min. 60) Y N ; .. <br /> Asphalt(min.11W). y N <br /> Length.{min: 19'} . N <br /> ,Width(10'ruin—20'max) Y_ : N NLiN C 0 (/v(" <br /> Existing sidewalk. Y <br /> New"sidewalk. Y N <br /> ADA compliant: Y � N <br /> Expansion material required. ("Y.. N. <br /> Contiguous parking pad: <br /> Triangular flare{3'vu x 71) <br /> Visibility triangle o.k.?. Y N <br /> Side setback(3j min: R.O.W. N <br /> .Plan Review Fee <br /> 1. <br /> J .. iibotiaiLs�eia o` imrrrl- ,. <br /> S.kETC�{..' <br /> • . 1 <br /> Permit application approved,b . pate: tLv N. <br /> Page;.3 bf 3 <br />