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re¢Ma 9 Arru1.w I RUB <br /> OFFICE USE ONLY <br /> fti°�4M. wi:t�i 4 .���,.,�d.'1•ya::: ..r. E�N`TY.?_�<<` .;c_-.:'SS^"�3•�'{':e:.`.}�;'i�, :i ��: <br /> -_ :: =3:'-'.-itiS2='i+t'Fa."-�..'�..r:.w+l:.,:t"Ke.-�� ��Vs� ..T!,� �. ��_.. `t, - `3' ..�,` ,i�'• - <br /> Concrete (min.61) Y N <br /> Asphalt Base(min. Y N <br /> J <br /> Asphalt(min. ilho) Y N <br /> Length(min. 19' N <br /> Width 10'min—20'max) Y N <br /> Existing sidewalk. Y N <br /> New sidewalk. Y <br /> ADA eomplianL Y N <br /> Expanslon material required. Y N l gia zr <br /> Contiguous parking pad. Y N <br /> Triangular flare(3'W x 71) Y N S <br /> Visibility triangle o.k.? Y N <br /> Side set bads(3'min. R.O.W.) Y N <br /> Plan Review Fee <br /> AAilitidfialtesiri'tiion:dfworka <br /> 9 s d esl=ti PuFficlAiorlLsirctoi' <br /> i <br /> S� G o 0 <br /> vtl 4JUE <br /> Permit application approved by: Date. � 2 <br /> Page 3 of 3 <br />