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PERMIT 'APPLICATION <br /> :OF.FICErUSEIONLY <br /> 11 11 • y a 4 i*Si � Zy, �'i' �..ir "rte .- 'ix.7 '? 1tq � • +A' ) 4 t �' ' <br /> Concrete (min. 6 ") Y N <br /> Asphalt Base (min. 6 ") Y N <br /> Asphalt (min.:11 ") 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 compliant. Y N <br /> Expansion material required. Y N <br /> Contiguous parking pad. Y N <br /> Triangular (3'W 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 /> 1... tad VICAr aliaa i !g ,. ``� s <br /> Permit application approved by: <br /> Date: <br /> Page 3 of 3 <br />