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:PERMIT 'APPLICATION <br /> ORFICE "•USE {:ONLrY <br /> ` 'ti-'. 1-0-A;,, :4 € ^"' .. '} 4 •. . S IR to tl tV. , 4 67 . `i i 0 �t, r ;.: ar 4 7.� * 4is 4-4, . <br /> . '' ''F') . ,3� 4Y :,..e T4'''"":4:` 'kn b k ... ' 4 . .. .. - . <br /> S A <br /> Concrete (min. 6 ") gp N w (Ti4 (A./ le. 1G4-T or Gu14 ", <br /> Asphalt•ase (min. 6 ") Y N <br /> U74_ <br /> Asphalt (min.1) /2 ") Y N <br /> Length (min. 19') ciIEI) N <br /> Width (10' min -20' max) / Y l N <br /> Existin• sidewalk. N k Pu4CE 41/4 CROSS SLo •F a °.. <br /> Newsidewalk.> N <br /> ADA compliant. (1) N <br /> Expansion material required. Y N <br /> Contiguous parking pad. Y N <br /> Triangularflare (3'W x 7'L).N >e 2 <br /> Visibility triangle o.k.? Q N . <br /> Side set back (3' min. R.O.W.) 5 N <br /> Plan Review Fee <br /> ,,� <br /> P�ll��i+crcra� es%ats `ne'awn �'�rit>ie� ` .'�'bIt�c�N,ic" tadmr"go'Il>"esiln `:' "�� ,,, <br /> 4 Z P Z' F X494/ /oU So�iy 7 t� D.0 /.¢VE.�GiEi 4,VL Qb TW <br /> C /AEC Oi 7Z S/9E/4/4 -clei <br /> 1 (2 3 f X 7 , 7 - 2 14436O((4Q -4QES . <br /> O K- <br /> Permit application approved by: '�'' --zs %NC 11111110s`1 .. -. 2 l IC7r I is <br /> Page3of3 <br />