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PERMIT APPLICATION <br /> = OFFICE:USE -ONLY <br /> . ( o ` ` 1111(4 .. .. �' <br /> Concrete (min. 6 ") N 6 " T'14 IC IC W tTlh( L) R .O• W, <br /> Asphalt Base (min. 6 ") Y N <br /> Asphalt (min.11/2 ") Y N /1/4.Vik <br /> Length (rnin.19') () N EDGE of Pa aEt <br /> Width (10' min —..20' max) N 12/ <br /> Existing sidewalk. N <br /> New sidewalk. (2) N <br /> ADA compliant. (1 N <br /> Expansion material required. CY > N <br /> Contiguous parking pad. Y <br /> Triangular flare (3'W x 7'L) N <br /> Visibility triangle o.k.? J) N <br /> Side set back (3' min. R.O.W.) N <br /> Plan Review Fee <br /> l�I�i��C'�r=rp�anf�nio��C��as'� .ulf�l�c�Ninr�`f�s"t��r s� n <br /> • uT 7 '0 J> • 3 ANT. <br /> • S/DEvv/ALK 4w5r /r 4D4 Cb *4)4 oe0CS SLOPE �% • <br /> • $if V GK r Co/VTiNVoof .MIVO✓4 PEDESTe .✓ ,Qa r <o <br /> /NCL.VOi p2I6 �S�pti yS, i) O /NTl Cu" SL'ETCL! <br /> • PA /VEA/A' Ci/AGL- oVor /v7e k//T// ?lfF 07,(4/EYoweE ar- S7Aeottai L7e, <br /> s 1 <br /> � I. qv' Date: �� ► i, <br /> Permit application approved by: <br /> Page 3 of 3 <br />