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PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> ;i�v ��u,'ii� yt5� =*f. .r� .�_ y.� Y, ��`. .e t•y�::r'. r'a;'i'5'i`, It x'S=•;:`.i�-.. <br /> ,. ,:�„` ;s':fv r• a.=.�. �:?!.�PJ�BL-Z/�,:W R� E f��y♦�.,.���; K _:�x�� Y;�,f .;.�.�t�(-� ,�,�� '..�.y. - ,.�".�•::'i .�.4,-:�- 1✓ ,�I�� Y��L.I •i- r',o`.'�, a ..�.P;'a 2^:3w.' str; <br /> :.i:c....r>:e;rs:iiw.� s,i,' :i-d. ;;'M�:_- 1...r_ :4..t_. .�.�,...., �' �''':' 'Ts �'�`1:-`.3','.��v' �-^,•`t%,.�- j:a: <br /> Concrete (min. 6'1 Y N <br /> Asphalt Base(min. 6") Y N <br /> Asphalt(min. 11/2") Y N <br /> Length(min. 19) 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(31N 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 /> .i••,i.-:�X-'�,,....r^.s�Y+'•?'S,!r': ',�t3.?.:.':_`,:y�z-,'.'C_? '�tsrz;''4:5�-�.ti=- _1...,.,�'-• -- - '- =-ti_';•ic:�;_9_i:- ��.P't','_-i�- ��:':�;:i.�,�':`�i;'":.,'��:rc_, - e.-`n�ri.: <br /> o a---desc�i tin:of w6rk s.�1efned tIR Public-Wow , ry '- k="::' <br /> :•Add--- <br /> i <br /> Permit application approved by: Date: <br /> Page 3 of 3 <br />