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<br />PERMIT APPUCATION <br /> <br />OFFICE USE ONLY <br />,':':':'j:'ml"::!I._'''_:\_~.U~'' <br /> <br />Concrete (min. 6") <br /> <br /> <br />Asphalt Base (min. 6") <br /> <br /> <br />Asphalt (min. 1112") <br /> <br /> <br />Length (min. 19') <br /> <br /> <br />Width (la' min - 20' max) <br /> <br /> <br />Existing sidewalk. <br /> <br />New sidewalk. <br /> <br />ADA compliant. <br /> <br />Expansion material required. <br /> <br />Contiguous parking pad. <br /> <br />Triangular flare (3'W x 7'L) <br /> <br />Visibility triangle o.k.? <br /> <br />Side set back (3' min. R.O.W.) <br /> <br />Plan Review Fee <br /> <br />Y N <br />Y N <br />Y N <br />Y N ,9....0 I - <br /> <br /> <br />/ <br /> <br /> <br />N <br />N <br /> <br /> <br />N <br /> <br /> <br />Permit application approved by: <br /> <br /> <br />Date: <br /> <br />\l <br /> <br /> <br />Page 3 of 3 <br />