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CI V OF TIGARD - SITE PLAN REVIEW —
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BUILDIN 1 ' PERMIT NO.: \•. 5 --U,2.,/q b P
4- 0 )ti., '''' -
PLANNING DIVISION: R LI . 5
Required 'etbacks: M Approved 0 Not Approved 00 X
c 0 il
Side - Street Side: tit ti` . fg
F - c-E ni
0 IQ
From. ,20 Garage: -2o Rear: • ° <
E iz)
v isua I C 4rance: VI Approved 0 Not Approved rn
Maximum Building Height 30 feet
("WS Service Provider Letter Required: 0,..,vc-s; 0 No
0- Received 0 ---1 oo ---
(73 1 cT r i 1 -744 0
E P
Date: '1 it 0
c U ic y
- - 5
ENGINE 1. !NG DEPARTMENT:
4 l g to....
Actual SI ciee: % 0 Approved 0 Not Approved
Site P,.. . a p
jApproved 0 Not Approved le e i . I" _ , i
ce m eit /__ d _ &. p d,
_ 5 I? 6
By .....0.
• . Date: - ).—v3.-- 2-&-ecr No easernerti-s..
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