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/ / IV/ / / AUG 13 2004
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4 ill i / / CITY OF TIGARD
i BUILDING DIVISION
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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: /15T' aDOz _ 00 V
PLANNING DIVISION: lZ -1 pi)
Required Setbacks: XI Approved ❑ Not Approved
Side: S Street Side:
Front. Garage: Rear: ____ d
Visual Clearance: Nff} ❑ Approved ❑ Not Approved
Maximum Building Height feet
CWS Service Provide, Letter Required: ❑ Yes No
❑ Received
B.N : Q i • eater -c Date: 8 - 3 - O 4
ENGINEE ING DEPARTMENT:
Actual Slope :_L% [(Approved ❑ Not Approved
Site Plan: CrApproved ❑ / Not / Approved
By: itil. Date: Cp. c '''
Notes: .
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