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PEhMIT APPLICATION <br /> OFFICE.USE ONLY <br /> PUBLIC WORKS.USE ONLY <br /> Concrete (min. 6'�r 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 (3'W x 71) Y N <br /> Visibility triangle o.k.? Y N <br /> Side setback(3'min. R.O.W.) Y N <br /> Plan Review Fee <br /> Additional descri tion of work as de.fined 6 Pu61ic Works Director and or designee: <br /> Permit application approved by: Date: <br /> Page 3 of 3 <br />