SDR35-79 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PLEASE NOTE: The original paper record has been archived and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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� \ DESIGN REVIEW APPLICATION
CITY OF TIGARD PLANNING ,DEPARTMENT File # "a�,ba„ 3 5---7 9 1 .
,. 12420 S.W. Main Street Fee Rec°d � G
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Tigard, Oregon 97223 :_....._..
639-4171 Receipt 4 3/4/e
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PLEASE 'PRINT OR TYPE IN INK
PROJECT TITLE: ......_:3 P/&S �' ,�?�„4
RE M /'_ /
7 -�' JJ 14/___JVCIL41.4_,,Laito PROJECT ADD SS. /J
TAX MAP #: — IS I 3 5-CiA TAX LOT(a)" J O %L
• , CIRCLE AS APPLICABLE: k e p �` �` � 1,,,,f:!,,,,-;,-.,/,-.2;/owNER/oEvELOPER S NAME: .L.«» _
1 ADDRESS:. ��..; 5 1 • -ti 11 Zi -
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DESCRIPTION Off' PROPERTY
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