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• <br /> :PERMIT APPLICA <br /> zOFFICE `•USE #"ONL'•Y <br /> �.... + a 1 ...,_ c ` v 4.`fi4.lk.i1© °� .3i? <br /> • Concrete (min. 6 ") N 6 <br /> Asphalt Base (min. 6") Y N N <br /> Asphalt (min.1' `) - Y N 3 <br /> Length (min. 19') CON <br /> Width (10' min -20' max) Alb N ` • *1 tpV' <br /> Existing sidewalk. Y <br /> New sidewalk. Y � ,► <br /> ADA compliant N <br /> Expansion material required. r) N <br /> Contiguous parking pad. Y GO <br /> Triangular• fare (3'W x 7'L) N <br /> Visibility triangle o.k.? () N <br /> Side set back (3' min. R.O.W.) ' N N <br /> Plan Review Fee <br /> /nigh i41Tiii /Mk ��i1'�'� 4 "111111F Date: i 2, <br /> Permit application approved by: . ��- mo <br /> Page 3 of 3 <br />