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<br />_ c <br /> <br />PERMIT APPLICATION <br /> <br />OFFICE USE ONLY <br /> <br />.PUBLIC~WQRKSiUSE'0NLY <br /> <br />Concrete (min. 6'') (9) N <br /> - <br />Asphalt Base (min. 6'') y Nj <br /> <,.... ;0 / A <br />Asphalt (min. 1 V2'') y N l. <br />Length (min. 19') (,?\ N 22. <; I{ <br />Width (10' min - 20' max) (Y) N lb,QSil <br /> & <br />Existing sidewalk. y (N} <br /> '--""'" <br /> - <br />New sidewalk. f y") N <br /> ............ <br />ADA compliant. ( y") N <br />Expansion material required. m N~' <;~;:::- LV T PLAt0 ND-rG":<' - <br /> '- <br /> ........... <br />Contiguous parking pad. Y (N) <br /> - <br />Triangular flare (3'W x 7'L) 7 y) N <br /> -- <br /> ~ <br />Visibility triangle o.k.? TY) N <br /> .r"\ <br />Side set back (3' min. R.O.W.) ( Y ) N <br />Plan Review Fee <br /> <br /> <br />Permit application approved by: <br /> <br /> <br />Date: <br /> <br />\. <br /> <br /> <br />B <br /> <br />Page 3 of 3 <br />