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CITY OF TIGARD - SITE PLAN REVIEW
la
BUILDING PERMIT NO.:V\3 ,.,2e,04.— jDO %.L
PLANNING DIVISION:
Required Setbacks: ['Approved ❑ Not Approved
Side: S Street Side: (® 1
From. It Garage: ) Rear: I S' C
Visual Clearance: Opproved. ❑ Not Approved
Maximum Building Height _ii.. feet
CWS Service Provider Letter Required: ❑ Yes trt'voo
A ❑ Received VI
ut.-64 B : ��d L¢ t Date: ( b
ENGINEERING4DEPARTMENT:
Actual Slope:% Ei Approved ❑ Not Approved
Site Play` 64_ Approved o
BY: D Date: /
0 6
Notes: