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� RECEIV�D <br /> city�of arono APR (� � �01� <br /> �No Hardcover Cafca�latian Worksheet <br /> �t�nr o�oRo►�o <br /> Property Address: �, _ t ,� ,,,� <br /> i. ,7 �.1. '?"<7r�/<f'f�!� F'D;i°� !�i7f�ro=!.-!i r.�G.i/A�,C�� �� � �„ ' .e��i .�;�: , <br /> t + .`.�:�`. <br /> '' sH�`` Prepared by: Dafe: <br /> ��aa.-l� �"lv � d �l�'c�c���_� :�,�.s��_.. �- �f'~d� <br /> Stormwater Quality Overlay District'Tier: (Cfrcle one} 7ier Fie�2 Tier 3 Tier 4 Tier 5 <br /> Step 2�?RQFQSED HARD�� <br /> - �...�,.._....� <br /> In the following table, identify all items of proposed hardcover on the property, keyed by fetter to <br /> Certificate of 5urvey (survey must 2�ccompany this €orm), Include aIl existing hardcover items that ane <br /> intended to remain, as weli as all proposed t�ardcover items that will be added. Use as many lines as <br /> Inecessary ta accurately degict proposed hardcover status of the pro�erty. For Tier 4 praperties, identify <br /> � any features oy letter wF�ich are spllt at the 75' setback line and caEculate hardcover square footage <br /> � se ratei for each ortion. <br /> Key to Hardcover Item{Descrtbe) �ength x Width Tota1 <br /> Surve S uare Feet <br /> � Exam le e 24'x 30' 720 S.F. <br /> a ,.�°=A S Sf s.�. <br /> ( B s.F. <br /> fc r.> �, �.� ^� s.F. <br /> � b f,;. ` n�r SF <br /> I E � r S.F. <br /> F � 5.F. <br /> ; G � � S.F. <br /> ' H E < S.F. <br /> � � � S.F. <br /> J �-► L S S.F. <br /> K �� :�" .:.• c, �' p" S.F. <br /> � S.F. <br /> M S.F. <br /> � S.F. <br /> O S.F. <br /> � S.F. <br /> � 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 /> � S.F. <br /> Y S.F. <br /> Z S.F. <br /> 1 7ota�f�o Hardcaver S.F. <br /> 6ccfudable ilardcover See CI Code 5ec 78-�684; <br /> �.r�:i r .�. �"' 1.•i /1?�• =t`i('r n 1� � '/'-�t.':..�-' � $.F. <br /> -'+� ! S.F. <br /> S.F. <br /> ' 5.F. <br /> S.F. <br /> 2 Totat Ex�tudabfe Hardcover S.P. <br /> 3 Net P ased Hardcover Subtrect line 2 fram Iiae 1 / U S.F. <br /> 4 Total�ot Area f:a9�i t .`� S.F. <br /> Proposed Hardcover Percerna8• L I3f+I43� ��,'��`� <br /> I <br /> Thie!s an In(ortnaHar�packet repe►dinp Narnicover. Every eflort has beert made to iruu�a the accuraey af the lnlamatio»caNalned <br /> � h,envA'i:hor►�ww,il8nyu�fam+8t/o►i ls nnt Cons/stent w�th prDvlsbns of the CRy C.oOe,the Code provisi0ns w1f1 prswr7 <br /> Page 9 of s <br /> '��.-r'�L`?r. '� - ?`" , <br /> E ----�--�/ � �� -__-� .. <br /> . <br />