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Cit�r of qrano <br /> ��owo H:�r������� ����uf�f;��� ��carks������ <br /> � � Propert�Address: , �. <br /> _'`\ ' ' � �.�.1��.r '.�.:;;•-s'�r`,r��: 3: •;►��"��i� .-,'z ��r:.�:�r�;',i f'r•;;� <br /> '*����' Prepared by: r, �r✓E`�" - ;,r, .. J � •., ' Date: �, . <br /> Jy'.__ �e. :ir .0 j ,�:.ti� �j ♦ `T� �'f:�' ^ a./-��`0 a!U1:. �,:��/..,.!��- <br /> �• .i <br /> �s: ..+'al-•�r'i �Si_ `."' '� <br /> Stormwater Quality Orer�lay District Tier:(Cinde one)fAl Ye:'� �sr 2 i!e-3 �ia�,?i�T� �� <br /> �..,. <br /> S��2:�P.�s'4�E�T3;'.�:F�L3�tZ!/".=:Z <br /> In the#oifowing taWe, idenfify all items of proposed hardcover on Yhe�sroperty, keyed by letter� <br /> Certiifrcats of Survey(sunrey must accampanq ti�is form). Inclwde alf�xis�ing hardcx�ver ibems that are <br /> intendscl to rc�rrta'sn, as wel!as a1i proposed hardcover iterr�s ttrat wiU be added. Use as many ftnes es <br /> necessary�a accurately depid prnpased hardcover s#etus of the proparty.For Tier 1 proper#ies, icteM'if� <br /> any features by te#et�which are split a#the 75'se#ba�lc line and calculate hardcover squara footage <br /> aratel for each or6on. <br /> :Cey to Hardco�+er L•:err:(D3sc:rihe) Leng2��;'��lidth 7a�a� <br /> S4::Ve�► $eu8z`a;ee: <br /> m fe , 2�'x�U' 72U S P <br /> A s��:'-^ .c.+ � _ S.F <br /> u �.�.'A'�' 'l�.i r:'.- <br /> B '�^ - ��,�ry �C• J, r��'{ 5.�. <br /> C /-' <br /> f� ��' +/�G1�f S'�. <br /> U .'':ir`.`•�� f��.�!:;''!f:` �i' '�� '� S�. <br /> E f� .!i�;Y3. z.✓�i •ra �' �/ �`�• V f". <br /> F F,�. �..�;:..� 9. ,:��;�. :•., ..� �� c, S F. <br /> G �'.<•�,�'%%� :• �� S F. <br /> „_,, '��� <br /> H .t�'; __�rr:+y D� �r��:�•�w �.s_:�''i-. rs y " �.F. <br /> � �•' -r :. ��'7 S F <br /> � ' • %r /% i' �.�. <br /> K " '; ' " S.F. <br /> ::i��4-i. �- ���.;'<' "L,�' <br /> L '°':Y�11"�r. .i� !�� a�. �. <br /> � i,fr`'r.� '.�� ,�,�,�+`' ; -,`: w� S F. <br /> N �'`.;::�,•,_:-;,r:;� ���,,r�,�_:;; f'� �:—:� S F. <br /> C> ���- •r''':�;..:_.�.x:�'.�;:�:�.� / ;' $F <br /> 1' S.F. <br /> Q S.F <br /> � S F. <br /> S SF <br /> T S F, <br /> U S.F. <br /> V S F. <br /> � 3.F <br /> X S F. <br /> �` S F. <br /> � S F. <br /> 1 Total Pro e+d Hardc:o�er r;��= S F. <br /> E.cl�c�ble iia:�icove.� Sge�i�v Code Sec 78-�68�? : <br /> x'Y� F "r.��,�'! .�';�i'l!:.:/.i��-.,��' �.��.e:_; i'c.� S.F. <br /> �� -'./ S.F. <br /> �'� ,'• �,� � _ i'�' S F. <br /> S.F. <br /> S F. <br /> 2 Total Eaccludable Mardcover _ � '�`� S.F. <br /> ,f i:�.�i <br /> 3 Net Pro sed Hardcovor Subtrad line 2 from�ne 1 �: ti:'^' °;"' S.F. <br /> 4 Total Lo#Area- ,;:�t'' =�":s`c� S F. <br /> Proposed H�dmver Peroerrta9@ I(�1 f t4)l � "�, ti. �,� <br /> J�u�eeybi ZD13 <br /> � -- - — <br />