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-• ���ff��++ppap /� ®fir/+ .p�/� <br /> rGRMIT- APPUCA.TION <br /> OFFICE USE ONLY <br /> t {.. C Y B <br /> Ccincrete. (min:6'� Y N <br /> Asphalt Base(min.6') : Y N.. , <br /> Asphaft(mina Ilk") Y N <br /> Length(min:19) Y - -N - <br /> Width(10'min.-2W max) Y _. :.N: <br /> Existing sidewalk:. Y <br /> New sidewalk:. Y nN <br /> ADA compliant. Y_ N: <br /> Expansion material required. Y:- 'N <br /> Contlguous parking pad. Y N: <br /> Triangular-flare(3W X,710. Y. fist <br /> Visibility triangle o.k:? Y - N <br /> Side set back(Y min:R.M.) Y N <br /> Ptan Review Fee <br /> _ ddifional c esi c=a to n:aid_t <br /> Permitapplimtion.appmved by: Date:.' <br /> page 3 of 3 <br />