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<br />;PERMn' 'APPlJ:CATION <br /> <br />~OF.F.ICE!USE(ONLY <br /> <br />'._~"_~Ol~.._~~._"ltIlI"lIII} <br />" '" " ",' , ,'" '" ,,,,, " ' , , ",~l"....'",..""",,,,,,,.,," ".'","''''.' ""'",...',,, "..." .,. ',,' ,. ,,,. ",' ,"",' ,'," I." ",' ,,, I>" i <br /> <br /> - <br />'Concrete (min. 6") (Y, N M \ tJ. h" IAII -rUI A) P..JgL.(~ t<..O.w . <br /> , \....-...--'" <br />, Asphalt Base (min. 6") Y N) <br /> ~ ~/A <br />Asphalt (min. :11J2'j .y N ~ . . <br />Length (min. 1.9') ~I -0 r( ( Y ) N I: ~. NOTE <br /> - <br />Width (10' min-.20' max) Ct.-oY -0" (y') N <br />f <br />EXisting sidewalk. y(1J") <br /> --- <br /> - <br />New sidewalk. Y (N) <br />ADA compliant ' y N" U/4 w.J \~'JJ fV&1.4!. e.C).J.D. <br /> - <br />Expansion material required. (Y) N <br /> -- <br /> ..... <br />Contiguous parking pad. . Y ('N ) <br /> - <br /> - <br />Triangular'flare (3'W x 7'L) ('y) N - <br /> - <br />Visibility triangle o.k.? (V)N <br /> '--""" <br />Side set back (3' min. RO.W.) rV) N <br /> '--", <br />Plan Review Fee <br /> <br /> <br />{NI\-G~" <br /> <br />Permit apprcation approved by: <br /> <br /> <br />Date: <br /> <br /> <br />Page 3 of 3 <br />