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PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> C_ f <br /> i <br /> — 4isi y <br /> �•>� :P. R N�. <br /> Concrete (min. 6'0 Y N <br /> Asphalt Base (min. 6'0 Y N <br /> Asphalt(min. 11/2'0 Y N <br /> Length (min. 190 - 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 (3'W x 7'0 Y N <br /> Visibility triangle o.k.?. Y N <br /> Side setback(3'min. R.O.W.) Y N <br /> Plan Review Fee <br /> ri$:'a ?C <br /> ...t.. �<.::;a'^�:,s'�:^' :r. a-..u,:•�..s'',_s= ..- -,r i'sz=-=�_,-x - G�,.•...P_a_.:. <br /> >x WEAK <br /> "t�i++...i%.�� -•`:[i-_-��•r,v.��.r!�.;. <br /> t Y :{ _., ""cam <br /> c_.._p'.ft OffiedoE, WEoc :<:_::. :_w = r- ,:.. __._<_.;_:zw,_.: <br /> Permit application-approved by: Date: <br /> Page 3 of 3. <br />