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D I FOUR D CONSTRUCTION CO
D i POST OFFICE BOX 1577 I - • BEAVERTON, OREGON 97075 • PHONE (503) 590-0805 • FAX (503) 590-1 751
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CITY OF TIGARD • SITE PLAN REVIEW
BUILDING PERMIT NO.: ki4..sT2ap../.DQiSrSe
PLANNING DIVISION•. Q
Required Setbacks: ,� Approved ❑ Not Approved G `��
Side: .. — Street Side: L.) G CjV
From. Garage:. Rear: V 0
Visual Clearance: A roved ❑ Not Approved \� � \�PSO N
Izft Maximum building Height feet
CWS Serv a rovider Letter Required: ❑ Yes gNo G\ G,O \v
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, Date: & AZ o y ec
ENGINEERINDEPARTMENT:
Actual Slope: :__,% ,i Approved ❑ Not Approved
Site Pl% a Et-Approved (� of 7pvd
By:
�/f�, Date: (c 0 1-
Notes:
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