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HAR OVE <br />SETBACK ZONE: (CIRCLE ONE) <br />U.CULATION works : et <br />’ 75-250* 250-500’ 500-1000* <br />EXISTINC HARPTOVER IN ZONE <br />A. House <br />Length Width <br />X <br />X <br />X <br />B. Cange <br />C. Driveway X <br />X <br />D. Sidewalk X <br />X <br />E. Patio/Dcck 9'X <br />X <br />F. Landscape <br />Undcriaui <br />By Plastic <br />X <br />X <br />X <br />G. Other <br />A <br />A <br />TOTAL HARDCOVER IN ZONE <br />TOTAL PROPERTY AREA IN ZONE <br />_____________ B •___ <br />B <br />PROPOSED HARDCOVER IN ZONE <br />A. House <br />Length Width <br />X <br />X <br />X <br />B. Garage <br />C. Driveway X <br />X <br />D. Sidewalk X <br />X <br />E. Patio/Deck 9‘X <br />X <br />\V <br />F. Landscape <br />Underlain <br />By Plastic <br />X <br />X <br />X <br />G. Other <br />TOTAL HARDCOVER IN ZONE <br />TOTAL PROPERTY AREA IN ZONE <br />_ _ _ ♦ B <br />r:. <br />• y • <br />X too <br />X 100 <br />9(o <br />% <br />X 100 - <br />r; rc <br />"iT — • <br />•• . <br />• • • •• . <br />ST. <br />S.F. <br />ST. <br />ST. <br />ST. <br />ST. <br />ST. <br />ST. <br />ST. <br />ST. <br />ST. <br />ST. <br />S.F. <br />S.F. <br />ST. <br />S.F. A <br />S.F. B <br />% <br />ST. <br />S.F. <br />S.F. <br />S.F. <br />S.F. <br />ST. <br />ST. <br />S.F. <br />S.F. <br />ST. <br />ST. <br />S.F. <br />ST. <br />ST. <br />ST. <br />ST. A <br />ST. B <br />% <br />I <br />• • • • <br />• •r i