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PfRMIT APPLICATION <br /> OFFICE USE ONLY <br /> PUBLIC WORKS tlSE ONLY <br /> Conaete (min. 6'� Y N <br /> ,�sphalt Base(min. 6'� Y N <br /> � <br /> Asphatt(min. 1'/z� Y N <br /> Length{min. 19� Y N <br /> Widtli(10'min—20'max) Y N <br /> E�tisting sidewalk. Y N <br /> New sidewalk. N C St C. <br /> ADA oompliant Y N <br /> Expansion mat�rial required. N StbEs C� S'(OEcIX?�.�. <br /> Corrtrguous paridng pad. Y <br /> Triangular flare(31N x 7'L) Y N <br /> Yisibiliry triangie o.k.? Y N <br /> Side set back(3'min. R.O.W.) Y N <br /> Plan Review F�e <br /> A,tld�tfonat :o�waic as d+atine� R�c 1Al+i�as Dinacbor and or d ' nee; <br /> �rmit appitcation approved by: ate: lZ D� 1 <br /> Page 3 of 3 <br />