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" — \� RECVES ■ fl '� *-014Q *-014Q NOV EI 3 2005
CITY OF TIGARD
BUILDING DIVISION
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R- ' CITY OF TIGARD - SITE PLAN REVIEW (
IS u' - ' `-"� BUILDING PERMIT NO.: �6)O "G0g7Zi
PLANNING DIVISION:
Required Setbacks: ❑ Approved ❑ Not Approved
Side: 5 Street Side:
Front.
Garage: 2 - Rear:
Visual Clearance: F' Approved ❑ Not Approved
Maximum Building Height . 3° feet
CWS Serf •e Provider Letter Required: ❑ Yes fig No
❑ eceived
B }: K Date: i' Jh /o k
ENGINEERING G DEPARTMENT: -
Actual Slope % ❑ Approved ❑ Not Approved
Site P ❑ Approved ❑ Not Approved
B -- Date: k , 0 Z - U?
Notes: