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<br />.PERMtt APPLICATION <br /> <br />, ~ ).. <br /> <br />OFFICE USE ONLY <br /> <br />"'"'."':i:i <br />"..,:o-ci'iF:......--., <br /> <br />;'", ::;+U;H:::i~+:~;:::!?c:::;!,':;~ <br />;-">i1:~rH:::~ft(.'^ ,C <br /> <br />V' ";PUBmCi1WORKS1USE~(JNLY <br /> <br />""'i:;:,}',-".~"" <br /> <br />i:;:::ii::i,:Y:::j:::::j <br /> <br />JV,:,:: <br /> <br />'iTEE',!:::,<:!:,:X:'Y, <br /> <br /> <br />Y N <br /> <br />tJ <br /> <br /> <br />N <br /> <br />N <br /> <br />Existing sidewalk. <br /> <br /> <br />8-.0 <br /> <br />Length (min. 19') <br /> <br />Width (10' min - 20' max) <br /> <br />New sidewalk. <br /> <br />Y <br /> <br />Contiguous parking pad. <br /> <br /> <br />ADA compliant. <br /> <br />Expansion material required. <br /> <br />Triangular flare (3W x 7'L) <br /> <br />Y N <br /> <br /><&> "'" III\.Gtlel <br /> <br /> <br />l~ I f<. <br /> <br />Visibility triangle o.k.? <br /> <br /> <br />N <br /> <br />Side set back (3' min. R.O.W.) <br /> <br />Y N <br /> <br />&.I <br /> <br />Plan Review Fee <br /> <br />'iAdditional\descri" 6ontof~worK:as;:aetinedili;';;!Pu6Iic'WorksjDireaor::and[oj'1'desi <br /> <br />nee:: <br /> <br />;:~;:i:i+':::+:h[:i:!:E;~::":!:;:::::: <br />~-"-i;:i:':!:::::;::,:::,_r,::;,,';;j <br /> <br />K.J O'TC" .' <br /> <br /> <br />(,,1... /11.11- rE1I!1 ~ ~ UOIt./:""~/J..$',,~p <br />~r4;N.D4I!J>$ . <br /> <br /> <br />c!v,e L' e:lV r <br /> <br />Permit application approved by: <br /> <br /> <br />Date: 8 <br /> <br /> <br />;; l,.(,..A ~ e: -:r: L.~ g.(...;4I-lC <br />Page 3 of 3 <br />