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City of Orono <br /> �o�,o Hardcover Cai.c�tation Vllor.kshee#� <br /> ,, PropertyAddress: ll2y ��/�jR :ST�C6'T �5?'.4�+�.Fr �/«iER� <br /> ��`�x�Ho Prepared by: Date: <br /> GR arv',C�6A.�' f A 1'1'A���t�'J'�. �"- /} -�,� <br /> Stormwater Quality Overlay District Tier: (Circle one} Tter 1 �,�g�Tier 3 �ier 4 Tter 5 <br /> � ,.,.._._..._... . ._ <br /> Step 2•, -R�POS�D_W}�b�V�R <br /> In the foNowing table, identify all.items of proposed hardcover on t}ie property., keyed by .letter ta <br /> Certificafe of Surve�r (survey must accompany this form). Include all existing harrlcover items that are <br /> intend�d to�remaii�, as well as all proposed hardcover iteins that will be added, Use as.many ilnes as <br /> necessary to accurately depict propqsed hardcover status of the property. �or Tier 1 p.roper#ies, identify <br /> any features by Ietter which are split at the 75' setback fine and calculate hardcover square footage <br /> se aratel for each rtion. <br /> Key to yardcover Item{Describe} Length x Wjdth �otal <br /> Surve S uare Feet <br /> -� I�: '�"a` �: . ' , . - 2,4''x a0'. .��A S F;' <br /> +4 ,� : S.F... <br /> $ S.F. <br /> � S.F. <br /> D C S.F. <br /> E �� �i " 5.F. <br /> F� S.F, <br /> G /e i� S.F. <br /> N S.F. <br /> � S.F. <br /> � S.F. <br /> K S.F. <br /> � S.F, <br /> M S.F. <br /> N S.F. <br /> 0 � S.F. <br /> P S.F. <br /> Q ' S.F. <br /> R S.F. <br /> S S.F. <br /> T S.F. <br /> � ' S.F. <br /> V S.F. <br /> w S.F. <br /> X . . S.F. <br /> Y S,F. <br /> Z S.F. <br /> 1 Total Pro osed Hardcover S.F. <br /> _�C�tii�I��.I����ii�o��r• e��t 'ode��,�,ZB='1.�84°.;:� . <br /> ' � S.F. <br /> S.F. <br /> S.F, <br /> ' S.F. <br /> . . S:F. <br /> 2 Total Excludable Hardcover ' ' S.F. <br /> 3 Net Pro�osed.Hardcover Subtract.line 2 from line 1 �,F, <br /> 4 Total Lot Area � S,F, <br /> Proposed Hardcover Percentage [(3)+(4)] Z,§'� y°2% <br /> I�LC�tVED <br /> Ti�Is!s an lnformatlon pecket reQarding Nardcover. Every effoR hes been made to lnsuro tho accuracy ofdM lnMrmation cortteined <br /> herein;however,!l any Infomtatlon is not conslsteirt wlfh provlsions of the Cfty Code,tha Code provlsiona wr7f prevall. MdY � � ���� <br /> Page 9 of 9 � 3 � 4 b � � <br /> CITIf O� �RC�N;7 <br />