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` PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> Concrete (min.6') Y N <br /> Asphalt Base(min.6") Y N <br /> Asphalt(min. fiAll 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 u <br /> Expansion material required. Y N ik:( EDGE Of-, CJ <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 /> d HbonaE &cea :to+n.: vtiio it as a �e i`la' fiub9ic:l i®e1t>s i ctior..aeid old 5 s""'.7 µ ° <br /> G 2^b t ND7 `o / _ . ON <br /> hDA 3' xOLL ut_142 L62 <br /> Permit application approved by. Date: z 3U L 2 <br /> Page 3 of 3 <br />