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Permit Permit Coordinator Review ❑ Conditions "Met"prior to issuance of permit ❑ Approved,NOT Released: Date: ❑ ENG Revisions Required: Date: Notes: ❑ SDC Exemption ❑ Applied for ❑ Received ❑ Does not apply ❑ Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A ❑ Deferred Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred Parks SDC: ❑ Yes ❑ N/A ❑ Deferred LIDA Fee: ❑ Yes ❑ N/A ❑ OK to Issue/Approved by Permit Coordinator: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_COM_NoLandU se_08162022.docx