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PERMIT APPLICATION <br /> ',OFFICE `USEfONL•Y <br /> it 4 A i ° L.71 t 0 L �i a b sec <br /> Concrete (min. 6 ") Y N LT , CP 4 <br /> scs _ z r f <br /> Asphalt Base (min. 6 ") Y N <br /> Asphalt (min. 11/2") Y N <br /> Length (min. 19') N <br /> Width (10' min -20' max) N 20 MA <br /> Existing sidewalk. Y lip <br /> New sidewalk. Y 101 <br /> ADA compliant. Y N <br /> Expansion material required. N EDGE .vEtiti✓0 <br /> Contiguous parking pad. Y Gl <br /> Triangular flare (3'W x 7'L) N <br /> Visibility triangle o.k.? (/ N <br /> Side set back (3' min. R.O.W.) 2 Y) N <br /> Plan Review Fee <br /> ?/E x/.'', / aA.4 *> 0m ez A10 /A .4 rUPT 7,{F aVVVEYWAdeE D� <br /> Permit application approved by: <br /> "11010reallI C /, j,�!;,. Date: 3 r■ •14.4412. t /i <br /> Page 3 of 3 <br />