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CITY OF TIGARD
Approved VI,
Conditionally Approved
For only the work as dees�cribed in: [ J
PERMIT NO. IYk� f i )m I?o i /
See Letter to: Follow . 1, .0 �
Attach
Job Address: l 5/D7CgNO �A��► �,P
By: D., _
Date: S�3o(�!' /'�'�