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PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> �PUBLT+C�WORKS�USf=�NLY <br /> Concrete (min. 6'� Y N <br /> Asphatt Base(min. 6'� Y N <br /> Asphalt(min.l�/z'� Y N <br /> Length (min. 19� Y N a � <br /> Width (10'min—20'max) N 2 � <br /> Existing sidewalk. Y N <br /> New sidewalk. Y N <br /> ADA compliant. Y N N <br /> Expansion material required. N �-� ED P�t1�E �rJT <br /> Contiguous parking pad. Y N <br /> Triangular flare(31N x 7'L) Y N _ <br /> Visibility triangle o.k.? N <br /> Side set back(3'min. R.O.W.) Y N <br /> Plan Review Fee <br /> .Arddttiar.�aii,de�cri 'on of�woc�c as�def3ned P�biic 1KI.or�s Di�r�a�d�or desi nee: <br /> Permit application approved by: te; 3 uL <br /> Page3of3 <br />