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1 . <br /> �� PERMIT APPLICATION <br /> r <br /> 1 <br /> OFFICE SE ONLY <br /> PdlBLIC WO S USE ONLY � - � <br /> Concrete (min. 6'� Y N <br /> Asphalt Base (min. 6'� Y N <br /> Asphalt(min. 1'/z'� Y N <br /> Length (min. 19� Y N 3 <br /> Width (10'min—20'max) Y N Z6 — �` ,. 3�x � �L42�S <br /> Existing sidewalk. Y N <br /> New sidewalk. Y N <br /> ADA compliant. Y N <br /> Expansion material required. Y N 3 �Tr¢� <br /> Contiguous parking pad. Y N <br /> Triangular flare (3'W x 7'L) Y N <br /> Visibility triangle o.k.? Y N <br /> Side set back(3'min. R.O.W.) Y N <br /> Plan Review Fee <br /> Additional descri tion of work,as.defined�ti. �Public UV rk's Director and or desi� nee: . • - -- <br /> c <br /> s � N,-s s �c <br /> Permit application approved by. Date: 3 � (�( <br /> P�BL,c r.�/oax .�,�eEC�2 <br /> Page of 3 <br />