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5 rim PLAN
GEOr2GE RA UT So3) 624 5499 c
t 127 sw If 4- Ave.
TIC7 0Q'. 97224 .
S W COI Ln . . ,. 4: :
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CITY OF TIGARD • SITE PLAN REVIEW
BUILDING PERMIT NO.: i";,Zpd,y' ed.2q'
PLANNING DIVISION: -S
Required Setbacks: pg Approved ❑ Not Approve,
Side: 5 Street Side: IS
Front. . Garage: . Rear 1 4 .
,
Visual Clearance: 0 Approved ❑ Not Approv+•:
Maximum Building Height 3 feet
CWS Service Provider Letter Required: ❑ Yes 0 N
Q ❑ Recc; <'
B : � � � . � ,�-� Date r7 e - OS
ENGINEERING DEPARTMENT-
Actual Slope:___% 0_6pproved ❑ Not Approved
Site Plan: PX4 Approved ❑ Not Ap oved
BY: Date: `7' Z '6 0 6 —
N o t e s : No ?Ast.rrlen 4- encr► - ouetn -.en f , 1% CA- I 4
re :