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<br />PERMIT APPLICATION <br /> <br />OFFICE USE ONLY <br /> <br />Concrete min. 6") <br /> <br />Asphalt Base (min. 6") <br />Asphalt min. 1 h'') <br /> <br /> <br />- 6'(. <br /> <br />N <br /> <br /> <br />Width 10' min - 20' max) \ <br /> <br />Existing sidewalk. <br />New sidewalk. <br /> <br />ADA com liant. <br /> <br />Ex nsion material required. <br /> <br />Contiguous rking pad. <br /> <br /> <br />Triangular flare (3W x 7'\..) <br /> <br /> <br />Visibility triangle o.k.? <br /> <br /> <br />Side set back (3' min. R.O.W.) <br /> <br /> <br />Plan Review Fee <br /> <br /> <br />y <br /> Q.o"", ~c.....IJol <br /> N <br /> N <br />Y <br /> N <br />Y N <br />Y N <br /> <br /> <br />ft'~~I;f ~~n ~;:~~~;1]~~I(ttr'(f(<!\~~~ffiff~iTI?{[tmrL~!!0~~~1~~~~1J] <br /> <br />Permit application approved by: <br /> <br /> <br />Date: <br /> <br /> <br />Page 3 of 3 <br />