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Report (40)// .. 71 111 . . , . . , • STREET TREE .„...„ , :;:, . ,g CERTIFICATION . ,. :. I, DAviD �2Pf ie_ - , owner/agent for Four- t �Ns7lzucfiow/ , (PLEASE PRINT) (PERMIT HOLDER) do hereby cert that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: /1r7 S r ,2( /S - ©o 0 S 7 Sri L ADDRESS: 1 Li I Li S i 14/, ,/i3 �i' CT- SUBDIVISION: A/1. --DP LL►0 ,J Al) l)d v/S LOT #: 5 SIGNATURE: l� 5 ` DA1 L: 2 -2_ /5 OER/AGENT) RECEIVED & VERIFIED BY: DA"1IJ: 4, ��, (Cr OF TIGA• v� Tree location verified per approved site plan. - I:\Building\Forms\StreetTreeCertificate 05/30/2012