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'i PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> .:J.' _ r'i'I "..r:.x M:�i Hk.Y•!ti<'a.'1'..riFyrl.:rw.✓x,a,.e.,q.wr Nn•�.. x <br /> .....�. —•;7:r. .,:i�-i".'t`":`�S `-i. <br /> Lt" n :'i a,:s�".',�:r;i�' zF:�{M'%,•.t•i r.� :+:' a x9 :•y.�'w:.t' <br /> }{ `•'1-"' - afht,is •:�'i�' P :Bll:ii,(X-�Y � -T �'.l:.r'. .ef. ..1,.^a.�•h=n ..Y:�'. �i::::wt;t,`.•;' <br /> ....,R!.al..w..-t,.o,..., ..:A. <br /> Contrete (min. 6'1 Y N <br /> Asphalt Base(min.Vj Y, N <br /> Asphalt(min.. 11/i 1 Y N <br /> Length(min. 191 Y N <br /> Width(W min_20'max) Y, N <br /> Existing sidewalk. Y N. <br /> New sldewalk. Y N <br /> 'ADA compliant. Y N <br /> Expansion material required. Y N yi <br /> Contiguous parking pad. Y N <br /> Triangular flare(3'W x TL) N, <br /> Visibility triangle 6.10 Y N <br /> Side set back'(Y mini. R.O.W.) Y N <br /> Plan Review Fee <br /> .J>.��•r�.ry - -tr:r,! '1T> �w?.^:.: •Y'^i ':b:' "Y`" _ .:rvi: ".f,::._ ..'-yJc. :�.. .4,1Y';•;•: :y.p �I:� '.L,faa „i.. :�-?e U,. i:Y:s''i .:1�_jam;: ,;,`•" <br /> ../8��i�oeiaiY�esclr� t�oiro iai�,��ak�'s•. e�i�;e��;�?�e�iy�.'V�/or;*sDiice�cfio�,and,-.Or�l�.s gee.�..r�.<�:i'Kv�: ,,:;;�`;��:y <br /> Permit appiication,.approved by: Date: <br /> Page 3 of 3 <br />