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i D POST OFFICE BOX 1577 • BEAVERTON, OREGON 97075 • Pri (503) 590 -0805 • FAX,(503) 59?-3751
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CITY OF TIGARD - SITE PLAN REVIEW in
BUILDING PERMIT NO:
PLANNING DIVISION: eN . S Approved
Required Setbacks: Not Approved ❑
Side: Street Side: _L.-
Front. a2ti Garage:
Rear:
Visual Clearance: Approved ❑ Not Approved
Maximum Building Height 12._ feet feet No
CWS Service Provider Letter Required: 0 Received SEP 2 4 2004
B : ,4 IA l Q . L Gwrt , t o Date: o' 0 "64 CITY OF TIGARD
ENGINEE BUILDINGDIVISIaN
Actual S 1lW .. _ • Of Approved ❑ Not Approved
( �= Approved ❑ of pr ved
Site Date: l °
ides: '77o -- pav►Cz.e - cam (rl .e