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CITY OF TIGARIA crrL D1AV1EW ,
BUILDING PERMIT NO.:
PLANNING DIVISION:
Required Setks:, Approve 0 Not Approved
Side: Street Side: '�
Front. Zs Garage: Rear:
Visual Clearance: A �proved ❑ Not Approved
Maximum Building He'glht ��— feet
i WS Ser i p Provider Letter Required: 0 Yes 21; No
❑ R �cei yed
Date: ! R / d
, 6.. . .,-e ENGINEERING DEPARTMENT:
Actual Slopes_% ['Approved ❑ Not Approved
Site Plan: / t"Approved ❑ Not Approved
.B . J jai's Date: 4 ---- � . . "
N c'tc$: a., cL ,,1 c ,-a-
5/ - 6 e4 - dd &‘ -4 ) 5 7- ' e j e a - /J' '
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO:
Street Trees: zr Approved CI Not Approved
Protect es: ErApproved ❑ ,Not Approved
By: � '
Date • t ! 2- (.. "
Notes �