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<br /> �PERMIT APP,I3CATION
<br /> �OF .ICE:USE�ONL`lf
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<br /> �Concrete (min. 6'� Y N
<br /> �Asphalt�Base(min. 6'� Y �N
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<br />� Asphait(min.1�/z� -Y �N
<br /> Length (min.79� Y N 3 �
<br /> Width (10'min-20'max) �Y N �DlTi�1�f4�, 7� r�
<br /> Existing sidewalk. Y . N.�
<br /> New sidewalk. Y N
<br /> ADA compliant Y N � �
<br /> � Expansion�material required. Y E' S L'ETC�4 �
<br /> Contiguous parking pad. Y
<br /> Triangular�flare(3'W x 7'L) Y T StDES -
<br /> Visibility triangle o.k.? Y N •
<br /> Side set back(3'min. R.O.W.) Y
<br /> Plan Review Fee '
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<br /> Permit appl'cation approved by Date: S
<br /> Paae 3 of 3
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