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<br />__.. _, ."'" '. ,__,~___",___,___,___",,_,~'__'___"_"_'_~""__""_ .'_"__ ...._~_......e_...._..~..__ "......_'....._.....,.__.-..__.__,.._....,.... ..,... ~ <br />.. .,...... .-..--.-.....---....."..- <br /> <br />;PERMIT 'APP.tICATION <br /> <br />~OF.F.ICE~USE!ONLY <br /> <br />'_._._ _11l111I__'~at~jjl_~I_..l-.. <br />.. .. . . nu .,. /::----.. . j~t...._,..w..........."'._~..,~...".,..~.".,..,.'"..,........,..,........."'. ... ... . .. .,.1 :-----:-._ <br /> <br /> ~ <br />. Concrete (min. 6'') ( Y ) N "" ( -r....t..,' f''-' 6L.l (! 2. \. G ~-r of "'" A "( <br /> .'-- <br />. Asphalt.Base (min. 6") . Y N -; <br /> I <br /> ~ N/A- . <br />Asphalt (min. :1112') .y .N J <br /> - . <br />Length (min. :19') 1 y, N '-l.l.{ I. _ OU <br /> ~ <br />Width (10' min-20' rnax) 7y~) N \0' <br />EXisting sidewalk. Y (N) <br /> - <br /> . <br />New sidewalk. Y (N) . <br /> - <br />ADA compliant. . .y N. ~/A <br /> ~ <br />Expansion. material required. r y) N <br /> \...,./' ~ <br />Contiguous parking pad. Y (<N ) . <br /> .- -- <br />Triangular'flare (3'W x 7'L) ( Y ) N . <br /> '---"' <br />Visibility triangle o.k.? rV) N " <br /> - <br /> ~ <br />Side set bac:k (3' min.R.O.W.) I Y ) N . <br /> '-- . <br />Plan Review Fee <br /> <br /> <br />It: 1~1~'[ , t<;f'll . o-~ <br /> <br /> <br />:It ..4R.6 <br />7i <br /> <br />."t,4~s:r ..,>!6<<J .~ <br /> <br /> <br />z. OP ~!f; <br /> <br />~~.~~ <br /> <br /> <br />Date: <br /> <br />l( S { t/>-r <br /> <br />Page 3 of 3 <br />