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PERMIT APPLICATION <br /> OFFICEILISEONLY <br /> rf <br /> Concrete (min. 6") (V)N (A) t 121.6QT OP '4M( <br /> Asphalt Base (min. 6") Y N <br /> C/ <br /> Asphalt (min.:1 - Y N <br /> Length (min.19') N .2C6 <br /> Width (10' min —20' max) Y N Pv,ZEIC 57Y44" <br /> Existing sidewalk. Y -6) <br /> New sidewalk. Y <br /> ADA compliant. Y <br /> Expansion material required. N AC EDGE SP-ave <br /> Contiguous parking pad. Y <br /> Triangular (3W x 7'L) N <br /> Visibility triangle o.k.? N <br /> Side set back (3' min. R.O.W.) N <br /> Plan Review Fee <br /> 0 <br /> 7;e4 /Girl / azz Slit/ (VT 4-T 452o W AM_LiW147r <br /> or g)ti ft) k7Y2t 64p <br /> yy-- <br /> 'flit/ twc7i.v6 6evef , <br /> • 4.14 <br /> Permit application approved by: ---- ■"..driierWAIIT 1111■ Date: AoG G . <br /> %h. <br /> Page 3 of 3 <br /> _ _ _ <br />