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<br />. <br />. P~RMIT APPUCATION <br /> <br />OFFICE USE ONLY <br /> <br /> <br />Concrete (min. 6j y N <br />Asphalt Base (min. 6j y N <br />Asphalt (min. 1112j 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 c:ompliant. y N <br />Expansion material required. Y N <br />Contiguous parking pad. y N <br />Triangular flare (3W 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 />:').~iiiI ,~, '."""~'''l.jVlOlll&~''Wc~~..!!!!i_~!~.~f~~~~~~1(~f*,~'W~f~t~?~~~~~ <br />Permit application approved by: Date: <br /> <br />Page 3 of 3 <br />