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CITY OF TIGARD - SITE PLAN REVIEW
TU:ILDING PERMIT NO.
i PLANNING DIVISION: a 1 - 0
Required Setba_e_ks.: n --- A - p pro ved -- 0 Not Approved
I ".:;,cif-• . 5 _ Street Side:
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Rear: LS____ P11(
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- Iiiatt - '0 ;12 • .. C:e .r... Approved 0 Not Approved
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• ...--...,,., ProN i'; " Rt‘illired: ErYes 0 No
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cl. eceived ( _ - r
• ? ditacei±t -ctd___ Date: ) --/ - 7( 0 7
. 7 r -- Fi;:,:ii DEPARTMENT:
...
1 at Si 4 Not Approved (01( ‘1 \f` 111‘1'
1 pproved VIM Not A f • t .
....
By. tS-- Date: — , –cn , ••
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