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CI OF TIGARD - SITE PLAN REVIEW
• BUILDING PERMIT NO.:V 1) -- at )) J
PLANNING DIVISION: Not Approved
Required Setbagks: Approved ❑ pp
Side: . >> Street Side:
Front. , 3 'J Garage: Rear: C n
Visual C learance: ED Apps ved ❑ Not Approved F
Maximum Building Height . feet �O �
r'WS Service Provider Letter Required: ❑ Yes ] No 0
- 0 Received 0 y
5 0
�- e a4.14. P ,, - / Da te: J-._ 1!o'OS O O v, co
' l'NGIN NG DEPARTMENT: ° ni
Actual Slope: —% ❑ Approved 0 Not Approved
Site Plan: ❑ Approved ❑ Not Approved
I By: .-r-- Date: -'1.'l -cam .
Not s: /\10 K)rwN eai
-i e.-t0 e .
IVO pcure el -4 S.