SDR51-79 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PLEASE NOTE: The original paper record has been archived and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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, CHARLES'Sk� UEL ('.:Pgai ,OFC SAC
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9830 SW 1Mci�eAz�.e 2S1 ,2ED ' 7 Q .L,.,......:.µ:.4;_,f¢
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r k QHAgLES H. SAMUEL,Q Di
TIGARD o Pl'OMETFRIC CLINIC 5 .
12 720 S.W.. Pacific Highway Tigard, Oregon 97223 ,
Telephone: (503) 639- 8
March 27, 1980
Mr. Aldie Howard k.
Planning Director
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of Tigard
Tigard, OR 97223
Dear Aldie,
x hereby apply for a change in my site design plan for 9830 SW
McKenzie St.
I would like to blacktop around the building, adding' a new
driveway on the Wendy's side of the pro ert Y and providing
at
least six (maybe seven, as indicated) parking spaces: Front
lawn and landscaping would remain as exists except for black-
topped areas. As much existing landscaping as possible along
the side fence will be preserved
Sincerely,
Charles H. Samuel , OD
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STAFF REPORT
. ' SITE DESIGN REVIEW
October 5, 1979
Tigard City Hall, 12 420 SW Main 1
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DOCKET: Site Design Review SDR 1-79, Dr. Charles H. Samuel, 'OD
APPLICANT: Dr. Charles IH Samuel, OD
12720 SW Pacific Highway
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Tigard, Oregon 97223
LOCATION: 9830 SW McKenzie Street (Wash. Co. Tax Map 2Sl 2BD, Tax Lot 700) .
REQUEST: Site Design Review
SITE PLAN AND DESIGN REVIEW:
'a Reference Conditional Use CU 21-79. Approved by Planning Commission
'. on October 2, 1979. �4
STAFF RECOMMENDATIONS:
Staff recommends approval subject to the following conditions;
1. Applicant must meet conditions provided for under Conditonal Use,
Cu 21-79.
2. That applicant review signing program with the Planning Department.
3. No Occupancy Permits shall be issued until all conditions have been
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satisfied and approved by the Planning Director and final inspections
have been made by the Building Official.
Pr Q�App Love
P s ,. /r"',+ ' tor
NOTE: This acknowledgement must be signed and returned to the City of'Tigard,
•• Planning Department, within fourteen (14) days of your receipt of
this letter. Failure to return this acknowledgement will result in.
no further action on this project with regards to issuance of l building
permits or engimering approval.
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Signature Date
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CC: Building Department
Public Works Department
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DESIGN REVIEW APPLICATION
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CITY OF TIGARD PI.,..AVNING DEPARTRENT , File --)e. ..
12420 S.W. Main Street , .
Fee P,ec'c.1
Tigard, Oregon 97223 , , • .
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639-4171 . Receipt 1-:' _ g/e--/49.
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Date ' 1------
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. '1711.e.'"contact person' named in thi;'application will receive all major correspondence l'
from the Tigard Planning Department and that person is responsible for providing sane L '
to 'owner, architects, engineers, consultants, etc
In this case the "'contact person" is;
, .
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' NAME ,e_z_Es ,I./
• ADDEss +.7...-..c,...., 1-46,tit -7- -44.D ?722.3
. TELEPHONE eP 3 9 LF, a
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All communications from this depnrtirant shall include the appropriate file number.
The file number in this case is _
, I have read this section and I agree, as the "contact person", to provide all
rnatir ,to other pe sons with an interest in this project.
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;,1.....,,.' Signature date
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PLEASE PRINT OR TYPL IN INK
,. " .. PROJECT TITLE: pA.01::::t-,5-,.9.,i:-diti/j.‘... .--.2
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' PR±rECT ADDRESS: C,7 ?)(..) 5W ' Mt k.t:ILI Zie . 17,-t-..4,4--/Q 0 i'? .2,,,..?
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TAX MAP it.: 5-- 5 .) TAX LOs)
, T( . • 70,0 4. '
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. C/RCLE AS APPLICABLE:
MICND,--ER/bEVELOP.F.:Rt 8 NAME: (1,44/29 L4SLA112_,61 • 6.10 .
ADDRESS:I.Z7Z,2 o See) eekr2"E:m„ 1-44,y I'D&A-1ZD „ OAL_ _2212a___
• - (STREET) (CITY) +(STATE)
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PaONE (WJE.): 6:1L9- FeYVY SIGNATURE: e /., I/S2ill.,, 0
• •• REPRESENTATIVE 1 8 NAME: ,15 -212HYI el 4
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. . ADDRESS:
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(STREET) '(C1111) (STATE) ------ tilt))---- '
PHONE, (Still)
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DESCRIPTION OF PROPERTY •
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1 . PROPOSED ko,..-.51,5/6(AC 4..s,r,firibttqcs I
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SITS SIZE; g / i Af 10 ) / •TOTAL SO.FT, OF BUILDINGS: /r6e, • •• •
SQ. FT'. OF pAvING: eye.,4,0)0 sQ. t-1,.., oP 1... t\tbsci :J xvd t 1 1 Rid '
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ANTICIPATED DEVEtOPMENT DTE: 4i0aPietie 197.17 ..,, ' I,
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ANTICIPATED DEVELOPMENT PHASES: 11 1 . 1•...... • • •
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CHARLES H. SAMUEL,O.D. RECEIVED
TIGARD OPTOMETRIC CY.,INIC
12720 S.VV. Pacific Highway Tigard, Oregon 97223 OCT ', 5 1979 ,
Telephone: (503) 639-8844
CITY OF TIGARD
October 4, 1979
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Tigard Planning Department
12420 SW Main
Tigard, Oregon 97223
Gentlemen:
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hereby a pp1ylfor Design Review of a proposed modifica-
`' tion of ,a house at 9830 SW McKenzie. The proposal is to
keep the existing house and landscaping intact except
for the necessary grading, blacktopping and concrete work
to add the parking lot shown on the enclosed site plan,
and to add access walkways from the parking lot to both
the front and rear of the building as shown.
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Sincerely,
1
//;//l;--pkteled //j
Charles H. Samuel, O.D.
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