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<br />PERMIT APPLICATION <br /> <br />OFFICE USE ONLY <br /> <br /> <br />Concrete (min. 6") y N <br />Asphalt Base (min. 6") y N <br />Asphalt (min. 1 W') 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 7'L) y N <br />Visibility triangle o.k.? y N <br />Side set back (3' min. R.O.W.) y N <br />Plan Review Fee <br /> <br />~"~O<"""l"~'~~~~_;1''''~~1,~'i4"'i~f!~;"1.8D(B{'LP;-;;;:{\Siil'~~_~ <br />[il~~i~ ~~~~= <br /> <br />Permit application approved by: <br /> <br />Date: <br /> <br />Page 3 of 3 <br />