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�2 ' : ,t . EIVED
JAN 1 . 2004.
CITY OF TIGARD
BUILDING DI Q '
5
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CITY OF TIGARD -
B
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UILDING PERMIT NO.: in ;o — REVIEW
PLANNING DIVISION: , X00 ® D
Required Setbacks: � �' a--.?_0(1
Approved
Side:
Street Side: is Not Approved
Front, Leo
Visual Cl Garage: .Q° �5
• Clearance: Rear.
Visual Cl ranBuilding 8 A pproved ❑ Not A
CWS Service Provider Letter feet PProved
Required: ❑Yes in No
B ��... ( ❑ Received
Date:
ENGINEE h ING DEPART �, am^ I
Actual Slope:�o�� VENT: d_,a
B
Site Plan: Pproved 0 Not A
./ Approved Not yti.;<— / • 4
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Pa z�f u.S�rn 11 R dooy -0000
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