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Master Land Use Permit Application Page 2 of 4 <br />CRITICAL AREAS OR BUFFERS ON SITE OR WITHIN 300 FEET: <br /> Yes / Type ____________________________  No <br />WATER BODIES WITHIN 200 FEET: <br /> Yes / Name:_____________________________  No <br />FLOODPLAIN: <br />Flood Zone: FIRM Panel # Date of Panel: <br />LOT COVERAGE AREA CALCULATIONS: <br />Existing Square Footage: Proposed Square Footage: <br />IMPERVIOUS SURFACE AREA CALCULATIONS: <br />Existing Impervious Square Footage: New Impervious Surface: <br /> DESCRIPTION OF SUBJECT PROPOSAL:  Additional pages attached <br />PROPOSED WORK: __ <br /> _________ <br /> _________ <br /> _________ <br /> _________ <br /> <br />_____________________________________________________________________________________________________ <br />_________________________________________________________________________________________________ <br /> <br />PROPERTY OWNER INFORMATION:  Multiple owners attached <br />NAME: MAILING ADDRESS: <br />CITY, STATE, ZIP: PHONE #: <br />FAX #: EMAIL ADDRESS: <br />APPLICANT INFORMATION:  Same as property owner <br />NAME: MAILING ADDRESS: <br />CITY, STATE, ZIP: PHONE #: <br />FAX #: EMAIL ADDRESS: <br />CONTACT PERSON:  Same as property owner  Same as applicant <br />NAME: MAILING ADDRESS: <br />CITY, STATE, ZIP: PHONE #: <br />FAX #: EMAIL ADDRESS: