SDR40-78 POOR QUALITY RECORD
PLEASE NOTE: The original paper record has been archived and
put on microfilm. The following document is a copy of the
microfilm record converted back to digital. If you have questions
please contact City of Tigard Records Department.
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Gem' &) SrW) C(.,f• [C4& �'G�,q bdr - -cif ►'�t�
JOB .
submitted to ,,.;
0, ADDRESS: Fi` _l date
FILE No: Sbi, o� Map• =' � �� Tax ,N�a Tax Lo-!;
Contact erson:
p 6'el,E6 ���ev#c - Phone # 22? --7
Address /00 kg A). / "yc,, e. 1erAvG
Date Correspondence Action Requested:/Taken
St r e 1998 ®'st-E415 &fry ificCeSS. het S d vAt 4AJ ®. a2
'I 70 36 ® /I •01/F, bs' , i7 i klc,#4 b To 30")
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CITY OF TIGARD—.12420 S.W.MAIM—TIGARD,OREGON 97223
• RECEIPT
DATE: `" ._AMOUNT:$ 90 •
.`" A.
DOLLARS
NAME; _Lii/ CASH: ;
ADDRESS:
32 LS tA,,,3 HECK,
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OF ,
FOR: ACCT.` PERMITS SURCHARGE _ AMOUNT
•
SEWER BILLINGS 40-364
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BUSINESS LICENSE 05-33
PLUMBING PERMIT 05-332
•
MECHANICAL PERMIT 05-332 _
BUILDING PERMIT, 05-333
SEWER CONNECTION 40-363
•. • SEWER INSPECTION 40-365
SYSTEM DEV.CHARGE 25-366 _ ••
• PARK DEV,CHARGE#1 30-367 •
• PARK DEV,CHARGE#2 30-368
ZONING ADJUSTMENTS 05-362 • /
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RECEIVED BY: ► 0 . 1
PPEI MIT NLII IRERS ASSIGNED,
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Design Review Check List
Project :
•
Zone NPO Designation
✓`µ-
Use Cl Sara ce : ”
,.. . Previous Action
Utilities
4 Water Sewer .
•
Site tion
,
Descrlp ,
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Sig. Vegetation:
1
Drainage : Flood Plain
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Surrounding Uses
,
, Zone Eequ.ixeemnts
Setbacks FY SY RY Ht . r.
Street R/W Required LID S t
Sidewalk Bike Path Greenway
lil I SC
•
• LANDSCAPE REQUIREMENTS :
Setbacks : F .Y. P. Islands `, '
S :Y.
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COMMENTS :
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