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CITY OF TIGARD • SITE PLAN REVIEW 74: - . .,.. g
BUILDING PERMIT NO.:i .)4 - c croiA#
PLANNING DIVISION:
Required Setbacks: Approved ❑ Not Approved
Side: 5 Street Side:
Front. 15 . Garage: , Rear: .t"
Visual Clearance: . tI ApprIlved ❑ Not Approved
Maximum Building Height feet �/
CWS Service Provider Letter Required: ❑ Yes (fd No ` , V
❑ Received [� G�V
B) : k P. n...� Date: Xi / 0 Y \j � Vi 1�
ENGINEERING DEPARTMENT: V� ���
Actual S pc: J.. % (,f Approved ❑ Not Approved 0
O
Site PI : 6 ❑ t p roved �p -c�G S1
t_..A._ By: Date: 5' 7 e t G .I O
Notes: 0V��0`