Report (31) /145 --O&cJJ
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STREET
TREE
CERTIFICATION
' I, C4g-Cs cps , Owner/Agent for 1.-5 l v�--ate c ►
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(PLEASE PRINT) (PERMIT HOLDER) ►
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Do hereby, — ify that the following location ►
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meets City.of Tigard/Washington County ►
land use and development standards for street tree installation.
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A ADDRESS: ,*
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LOT: PO •C1,i�,�,,,0 Pte- SUBDIVISION: (U 44 FA, k
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A BY: J DATE: q4-6 /03—
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A RECEIVED BY: ►
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DATE: /01_ ►