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PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> PUBLIC WORKS USE ONLY <br /> Concrete (min. 6") Y N <br /> Asphalt Base (min. 6") Y N � ���t-t� <br /> Asphalt (min. 1�/z'� Y N '' � s_ <br /> Length (min. 19� N 3 5� <br /> Width (10' min — 20' max) Y N �y,�. � <br /> Existing sidewalk. Y <br /> New sidewalk. Y N <br /> ADA compliant. Y N � <br /> Expansion material required. Y f� <br /> Contiguous parking pad. Y N <br /> Triangular flare (31N x 7'L) Y N S ; �_ � :� 2$ <br /> Visibility triangle o.k.? N <br /> Side set back {3' min. R.O.W.) - N <br /> Plan Review Fee <br /> Additional descri 'on of work as defined b Public Works Director and or desi nee: <br /> S'va�.i�'?�r c�l�vs <br /> � CoP'f o� S'tl��D � S�I�LEA f�-�t�ut oN Fill k/D�P S�E . <br /> Permit application approved by: ate: � ��/� <br /> � <br /> Page 3 of 3 <br />