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Report (30) 1 1 1 STREETTEECETIFICATION• ► I 1 , Owner/Agent for JL5 �� 1 (PLEASE PRINT) s I. , (PERMIT HOLDER) 1 . 1 ► 1 ► 1 Do hereb � ► I y c r fy that the following location ► meets City of=Tigard/Washington County ► land use and development standards for street tree installation. ► I 1 ADDRESS: 0. 1 1 � LOT: (-0 Sag Grp,d Pe1/4-L SUBDIVISION: .( ��d P r k ► ► 1 ► 1a#, . 1 BY: „egfir ► DATE: 9 2_6, ©2._ _► 1 RECEIVED BY: Al 1 !�� DATE: 4 ►