A site plan must accompany each application to the Board of Variance and must show
the following information:

1. Size of Lot and Buildings

2. Siting of all buildings to include measurements of setbacks from
property lines

3. Siting of proposed addition to be shown in dotted lines and to show
setbacks from property linea

4. Site plan to be shown below or on a separate sheet no larger than
Bq" x 14"

Sample Site Plan:

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Actual Site Plan Relating to Application made on Reverse Side of this Foran:

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Signature of Owmer

eth bs This Form ia provided for your convenience and you ahould feel free to submit any
fel : additional information rhat will be of value ta the Members of the Board of Variance
in the considaration of your Appeal