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C�y of Orono <br /> , �o,�o. H�.���l�ct�vem �:�������ion Work����c�f: <br /> ��1 � � Praperty Address: ;� .�- � <br /> � �� + J /l.�D D G� CI°.`•'1':'.el��..��-'`?' .{E.t=�' .:. (.1��'�"i�i:f�E"_�7./ ��I f��'',' <br /> •`a��,yH�.•" Prepared by: Date: <br /> fr+6Yi����e�il:�r �'e?'c a�fi i C'�e?f,�,?'�"�.},,, '�'' /;4••L�2-/.S <br /> stormwwatter Qualit�r ovs�lay�ssiric�rrer: (c;rde one) .i�er��',�TEc�? T��: 3 Tier a� :�ie�6 <br /> Sts�2:�R4�P�7 :ix.l�aD�C►_�� <br /> ...�- <br /> Ir�fhe fo�cwing tabie,iden#ifiy all ifems af propo�ed hardcover on the property, keyed hy letter 1� <br /> Certifcate of Survey(survey must aa�mpany this fo�m).include�ii axisting herdcaver'�tems tt�at are <br /> intended to rernain, as v,rell as ali propased hardcover items that wilt be added. Use as many ltnes as <br /> necessary to scaarately depict proposed hardoover status of the property. For Tier t properties,ider�#ify <br /> ar.y featur�s by letter wtiich ar�split a�t the 7�'s�tback line and caiculata ha�lccver square footage <br /> se rate for each artion. <br /> Surve Hardcs�ver I�em (Desci�e) Ler.gth r.�dth T°����� <br /> EXa�fI le G 4'x 30' S.F. <br /> � /� ,�p•,a ►: �'r'L."' �u.�. <br /> � �•; •s" , � .SJ^ .�'F. <br /> C r - � �f� R� ^.� ,� % u 'Y S F. <br /> p < <�« . S F. <br /> E � � i � $F. <br /> F .i�f, ftsl�:.c; ,f,;�,;,�. ; �"'�� S F. <br /> G r �: ;.• �i'•',/<:.�" .�• ;:.. S F. <br /> � ''�:+r� .�., C� t' 9 �'u�- <br /> � — . <br /> _ �_::.�i^ F '"`�."F-f °:e�' •'L�1 �" ��"'"r'— .S.F <br /> � rE�,,: ... .;��: .r: S.F. <br /> ' K s .v .f � �r<�.-� . � ;� 3.F. <br /> r <br /> j. %rf``r •�,�► �°Il•'' �9 S.F. <br /> M r'i'i,;.'k'�= v� t..e°" ^ap S.F. <br /> N �.��r, ' ,�< <r .., v S.F. <br /> O •. ,��- &.F. <br /> P �'�1�''�r..�. .;..r.':�. .� ?.•� S.F, <br /> �`.wr� j.i::�i�Y� �: � �!_ _ ^y: :,r �./'�1 �7.F. <br /> R �`.�::s---,::w:r�s :� '' -� ,fi�,.,;_,• �`-:'�•:w�Y:»�l =��. �.F. <br /> S i°:S-='�_ - �� �'11� Iri'i t cG d -'"��j:,. .�J.�� <br /> �. <br /> �,,. � w .-� <br /> T '�'• i,;.`ti ..� .;- �' :c'r"' r• ;: S F <br /> " 5.�. <br /> U :.�',��•�.,A '�r-�:..:.IIl+: ..!;� �i' +�Y'/"'F:/Sj` -�..�M,,,y„�. <br /> � <br /> V �'� :-�. ,�' � r" � �n. ,�'''�•` '<�r ��." �.�. <br /> W S.F. <br /> X S.F. <br /> �Y � �.F'. <br /> Z �.�. <br /> 1 7o#al Pro as�d Harc#�over ��M'�f� yS F. <br /> F�cc{adab:e Hardco�er Sea Ci Cocis Ssc 78-'�68�� : <br /> � ��.`'.���,- :,, ��r�r:.€� �' /� `. S F. <br /> _F. <br /> - S f. <br /> S.F. <br /> S.F. <br /> 2 Totaf Exdudable Har+ddcover � S_F. <br /> 3 Net Pr'p sed H�rdcover 5ubtract llne 2 from ii�e 1 �,��'. si?�' S.F. <br /> 4 Tota!Lot Area 0"'�'�'.!��' S F• <br /> Proposad Wardcover Peccen�age [(3}+���� ., �r, :�� �G <br /> .7�.n+rary�zo� <br /> ____ _-__ __ --_--�__ -- ----___--------- -_ _ <br />