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1F WQCS FCFOSD 6IT r
CITY OF TIGARD • SITE PLAN REVIEW . .. .
BUILDING PERMIT NO.:-s1 6&rJf4 C ?'
PLANNING DIVISION:
'?egt,ired Setbacks: Er Approved 0 Not Approved
v +.• _S Street Side • (12
t /S Garage: V Rear: (
::►,:•: ∎ Er App ed ❑ Not Approved
Vax' "n) Building Height• `' feet
('DVS Sc:rvi;:e Provider Letter Required: ❑ Yes Q'No
❑ Received
s�ii(Q,'r Date: /t�(�,�
ENGINEERING EPARTMENT:
Actual Slope:% El Approved ❑ Not Approved
Site Pla 4� E'Approved No Approved
By: Date: 6 " a6
Notes: ek_ (U 1
G S ✓:'l SL