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<br />~. ~ PERMIT APPUCATION <br /> <br />OFFICE USE ONLY <br /> <br />';:":':'~:~:~i:';b';l:'~ ~':;':r':~i "~'\::: :('T:;it: , <br /> <br />, .,', ..., .. " . '.. , . <br /> <br />Concrete (min. 6") <br /> <br /> <br />y <br /> <br />Asphalt Base (min. 6j <br /> <br />Asphalt (min. 1112j <br /> <br />y <br /> <br />Length (min. 19') <br /> <br />( <br /> <br />Width (10' min - 20' max) <br /> <br />existing sidewalk. <br /> <br />New sidewalk. <br /> <br />( CoN"T1 "'000 <br /> <br /> <br />ADA compliant. <br /> <br />N <br /> <br />Expansion material reqUired. <br /> <br />Contiguous parking pad. <br /> <br />Triangular flare (3W x 7'L) <br /> <br />Visibility triangle o.k.? <br /> <br />Side set back (3' min. R.O.W.) <br /> <br />N <br /> <br />Plan Review Fee <br /> <br />~AiUlItiG_lr <br /> <br />'i..":,~.,';ir:'j'il,,'" 'tJ~".- <br /> <br /> <br />Permit application approved by: <br /> <br /> <br />Date: <br /> <br /> <br />Page 3 of 3 <br />