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���r�Yr����ic��°ao� <br /> FFICE USE OfdLY <br /> .�`: ' PtD6 � C::1N�6tlCS,..USE ONLY <br /> Concrete (min. 6'� Y N <br /> Asphalt Base (min. 6'� Y N <br /> Asphalt(min. 1�/z") Y N ER 7�PiG�i�C SPN�/ 5E�>/0�(! oF � av,�• <br /> Length (min. 19� Y N <br /> Width {10'min—20'max) Y N <br /> Exisfing sidewalk. Y <br /> New sidewalk. Y <br /> ADA compliant. Y N t.� <br /> Expansion material required. Y N A, <br /> Contiguous parking pad. Y N � <br /> Triangular flare(3'VII x 7'L) Y N <br /> Visibility triangle o.k.? Y <br /> Side set back(3'min. R.O.W.) Y N <br /> Pian Review Fee <br /> .,.,._.t_... ....�- ... .,.... .. _ ,;�:- ,,,. :t - - - - _ - - <br /> s , � ..,........, �: . _ . . „ <br /> .,.:.: .. <br /> .... .::::..... <br /> _ __ .- .. , ... <br /> ...... ,�� �...:... . ; ..,. :...- <br /> �,;Additional;d�scr� ae;of;�=mmo�:as':d�f'i�esd':b .Pub1i��11Voe�SS;�D6a�toa�LLae�cl;�r�al�i e��:;::,';::: <br /> � <br /> TI <br /> Permit application approved by: Date: <br /> Pag� 3 0�3 <br />