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7867 SW Ashford
----- ------- — CERTIFICATE OF..
re • h OCCUPANCYiw
L1GA4ePERMIT N. . . . . . . .
IvIST91 -021-S8
COMMUNITY DEVELOPMENT DEPARTMENT mom IssIJI'I►c l I/09/92
13126 3W FWI BW. P.O.Bac 23397,TOW,Oregm 97223(663)6304176
SULADI VISaIUN. . . . a DINING:
BLOCK. . . . . . . . . . I i r i . . . . . . , . . . . . .. ..
CLASS OF WORK. d NEW
TY171F or- USE. . . a sT=
OCCUPANCY TORP. a R.3
UC;C"UP0NC,Y L LAD a;71r 5 /i
TENANT NFIMF.
hema<rl,r� :
Ownerc _ _ .._.__.._.__..... .... ... _._. _ ..._ .. . .... .____.._...._. _ _
RENAISSANCE UC:VFL.OPME::N1 (,I RF,.
P098 SW S T'1.1
WES'l L I NN OR
Phr,nn " a 657-5739
Lontrarr_t or , ._.-
RENA193ANCE DEVE:;I_OVIME NT
167P. C,M WI:L.L_AW..TTF' rALL_S Lr C2
WEST 1.114N UR 9706A
Phone ilc '357 .8000
P osy R. a 49955
5
Ocr1.pancy of the _above rpfer•ernc.-e+d ho-01clinu ig herrerl y given, and Certs f i.H
the c r)mplxanc_e with the State Of Oveyorr r"-;1. pciaal.ty C''r'Je14 for the ip ol.rp,
oVC r_r1:,aTrCly, anal a sp milder^ which the ro f erenced perin.i i wAF, i sc;kspel.
col'/L
F= IR 1II F�'AR"Fh1T:l�11J t� 1ldiit�F�i"11�Ir?
BUILD C►F
Pf)t i T T N C.0NSjP l(.LJUIr!.i t' PUtn.
INSPE("IION NCYPICE
City of Tigard Building Department �
13125 SW Hall Blvd. 'Tigard, Oregon 77223
InspuctLon Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections T__,
Footing Plbg. Under.slah Mach. Rough-in Appr/8dwlk
Four I. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. sewer Framing
Post/Beaa. Mach. Rain Drain Insulation -Plumb.
Plbq_. Jnderfloor Water Line Gyp. Bd. -Koch.
Date Requees.eds_ - Times AN —_—PK
Address: 0 / !� ) .07� / Permit
Builders___
THE FOLLOWING CORRE'.:TION8 ARE REQUIREDs
n
Inspectors Date:_ �/ �1 7 Z
APPROVP:D DISAPPROVISD APPROVED SUBJECT TO ABOVE
Cell For Reinsp.
INSC!BCTION HOTI ,�:
City of. Tigard Building '-,apartment
13125 SM Ball. Blvd. Tigan , Oregon 97223
Inspection Line (Rec-G-Phone)s 639-41'7Bueinese P-hone: 639-4171
Inspections ----
Footing Plbg. Underelah Piech. Rough-in Appr/Sdwlk
Found. Plbg. Tap Out Cas bine FIUALs
Poet/Beam Sts'uct. San. Sewer Framing -eldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd.
Date Requesited: Times
Add Pen: ' Z it Is
3�
Hui-Ldesr:
TRS POL?.OW1140 COARRCTIOHS ARE RNQQUIREDs
�YE'E
Inspectors_ _ Date: _.._
APPROVED DISAPPROVER APPROVED SUSJSCT TO ASM
Call For Reinep.
1NSPICCTION NOTICE
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 9727.3
Inspection Line (Rec-O-Phone)s 639-4175 Buninena Phones 639-4171
Inspections - ------ — _.___-- — --
Footing Plbg. Underelab Mach. Rough-in nppr/9dwlk
Pound. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Sari. Sewer- Framing -Bldg.
Pont/Beam Mech. Rain Drain Insulation CPlusi b.
P1Ag. Underfloor Water Liinne Gyp. Ed. -Mach.
Date Requesteda V f Time: --
Address:`_ 0 J Permit #: 1 �� ~
Builder. 1"
THE FOLLOWING CORRECTIONS ARE REQUIRED:
it - ------ '
00,
-- ----- sem—'
Inspector:
APPROVED DISAPPROVED ! APPROVED SUBJECT TO ABOVE
Call For Rainsp.
I _
IFSSPECTION N ICE
City of Tigard Building Department:
13125 SM 1V»1.1 Blvd_ Tigarrde Oregon 97223
Inspection Line (Roc-O••PhUna): 639-4175 Runineee Phone: 639-4171
Inspect Lon:
Fmtinq Plbg. Undoralab Mech. ;tough-in r Appk
Found. Plbg. Top Out Gas Tine `` FINAL:
Print/Beam struct. San. Sewer Framing -Bldg.
Pont/Ream Mach. Rain Drain Insulation -Plumb.
Plt,g. Underfloor /,r� -
Water Line Gyp. Bd. �-y -Koch.
Date Requestedt_-//-7
Address:_ / Permit #1
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
:� �JA 0 na
y ✓ -P 01"J
r
C I[rt'Yp bn C1�1.1.P r� Lv�_
V� _ Lo l_
Innpactor:
Dater /L--
APPROVED DISAPPRO )NPYROVED SUBJECT TU ABOVE
Call For Reinap.
IMS ECT .Ori NOTICE
City of Tigard Building Department-
13125
epartment13125 SM Ball Blvd. Tigard. oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Bueineoe o • 639-4171
Inspection:__ —
Sdwlk
Tooting Plbg. Underelab Mech. Rough-in APPr/
r
Oar Line y FINAL:
Found. Plbg. Top Out I l
-Bldg.
Poet/Beam strict, San. Se%A-r Framing g•
Port/Ream Mech. Rain Drain
Insulation -plumb.
Plbq. Underfloor Water Lino Gyp. Ad..
-Mach.
- ,PM
DAte Reyueated: _------
Zkb 2- -5 N�� y
✓ /� Permit is
Address:
Budde[: --- - -
THE FOLLOWING CORRECTIONS ARE MUIRED:
i
Inspectors
Date:
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call
For Reinsp.
IN3;'BCTION-=JL5 I
City of Tigard BujA ding Depactsent
13125 SII Ball. Blvd. 7 igardr Uregon 97223/ f '
Inspection Line (Rec-O--Phonelt 639-41.75 Business Ph y g_q_-
Inspection:_
Footing
Plbq. Underelab Mech. Rough-in Appr/Sdwlk
Pound.
Plbg. Top Out Gan Line FINAL:
d
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain
Insulation -Plumb.
e Ba_� -Mech.
Plbg. Underfloor Water Line
%Yp_��
_L—[- Tim®s AM
Date Rq
euested:!_ PM
/ -
Addresn:_,._.�'+' 7 _ Permit
B:sl lder:
THE FOi.LOWING CORRECTIONS ARE AEQUIREDt
lnnpec-tor: Dater
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rei eP.
i
INBPSI'TION NOISCB
City of Tigard Building Departsent
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-41.75 Bueiness Phone: 639-4171
Inspections —
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwl.k.
Found. Plbq. Top Out Cas Line FINAL-
Pont/Ream Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain ( inaulntion -Plumb.
P1bq. Underfloor slater Line Gyp. Bd. -Mach.
Date Requested: _ 7--- ---Times &_AM PM
_,� Permit 1:
_
� Z
Addroee: � �
Builder: 4-&
THE FOLLOWING CORRECTIONS ARE REQUIRED: —
1
Inspectors ______� Date:—
PROVED DISAPPROVED APPROVED SUBJECT TO
Call For Reinsp.
i
isPgC LgE7 NOT_1_99
City of Tigard Building IlepartsRnt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone;: 639-4175 Busin�Bs Phone: 639-4171
Inspection:_------------
Footing
plbq. Underelab ` h. Rough-in ) Appr/Sdwlk
Found.
Plbg. Top Out Gaa Line FINAL:
--n
Post/Beam Struct. San. Sewer -Bldg.��(..—ram--i--��
post/Beam Hect:. Rain Drain
Insulation -plumb•
plbg. underfloor Nater Line Gyp. Bd.
-Mach.
of AN PM
T
Date Requested: _�(L_�---� ---
4-111,
Address: �4Y ~----�� '�- — Permit 1= � � k
7,
Builder: --
THE FOLLOWING CORRF.CTIONS ARE REQUIRED: -- --
Inspect -------
\ APPROVED _ DISAPPROVED _! APPROVED SUBJECT TO ABOVE
Call For Reinsp.
i
INSYSCTION NOT�C�
City of T.1garc Banding DePart�ot' /�
13125 BM Ball Blvd. Tigard, Oregon 97223
Inepecti.on Line (Rec-O-PL3no): 639-4175 Business Ph s 63 4171 4
Inspections -- -------
P2
—
Footing Plbq. Undersl.ab Mech. Rough-in Appr/Sdwlk
Found.
Plbg. Top Out Gas Line FINAL&
--i Frnmi-ng -Bldg.post/9�ea>1 8tluct. Ban. Sewer
Post/Beam Mech.
Rain Drain Insulation -Plumb.
_
ec .
Plbq. Underfloor Mater Line Gyp. Bd. h
!!}}
L _Tiros: 1 AN PN
Date Requested a —_� T
Permit 1
Address:_
Builders
TB= VOLIA-MIND CORRECTIONS An REQUIRED-
Dates
ineper_t:nr• __ - -- --- --
VAPPROVFD DTSAPPROVED APPROVED SUBJECT TO ABOVE
Call for Reinsp.
I
TNSYECfIUN NOTICE
t--d W ild� �artm"t 3
City of Tl9esd 639-4171
13125 8" Ball al 1,
1 Business Phone:
+ 639-4175 B
Inepectlon Line IRec-()--phone) --��—�
Ingpection:— Appr/Sdwlk
Mech. Rough-in
plbg• Underalab I
Footing FINAL':
Top Out
Gas Line
Plbg•
Found.
8truct• San. Sewer
Framing -bldg.
Post/Beam
In+:ulat ton -plumb.
Mech. Rain Drain -Mech.
Poet/Beam GYP- ed.
Underfloor Water Line AN
�/ pK
P lbg. _2 7 n_ T LAW S
Date Requeeted+
Permit i+E
Addreea:_
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i..�_
__ � tai
�7 Date
�//
inspector: SUBJECT TO ABOVE
DISAPPROVED
APPROVED
�AP.RAVED
call For Reinsp•
�FECTION N7�f�: �
City of Tigard BuildAim, 9eparta wit. 1/� Z
13125 SA Hall Blvd. Tiqaxd, Oregon 97223
Inspection Line (Rec-O-Phone)= 639-4175 But t?R Phonei 639-41"1
Inspectiont_Y ._r.__ --— 4'
Footing Plbg. Underslab r'+. i.au� -n Appr/8dwlk
Found. Plbg. Top Out tar Line 'lPhL:
Post/Beam Struct. Ban. sewer Framing -Bldg
Post/Beam Mech. �Wat-rLine
'� Drain Insulation -Plumb„
Plbg. Underfloor oyp. Rd. -Koch.
Date Requeated: �[ __Times All _ PH
Addressr_ ��-� ��1„r�= / Permit 1t
/„ 5 - C
BU i 1 der: ��--rr"""" -
""
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ _ : !� — ^Date:
L_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
1 _
_
COITY OF T16A RD
CCCWjTWA1
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
DATE ISSUED: 03/12/92
SITE ADDRESS. . . : 71167 GW ASHFORD s PARCEL: 2S112CA11
SUBDIVISION_ . : RENPISSANCE WOODS ZONING: R-4. 5
BUILDING
REISSUE: DWELLING 1JNlT9: 1 BASEMENT. . . . . . . . :@ S
� CLASS OF WOHK. :NEW BEDRMS:4 FiATHS:3 GARAGE. . . . . . . . . . :440 sf
TYPE OF USE. . . :SF FLOUR AREAS---------- REQUIRED SETBACKS,----------
TYPL OF CONST. :5N FIPST. . . . o888 sf LEFT. . .-51 ft R%GHT. :8 ft
� OCCUPANCY GRP. :R3 SECOND. . . 1077 sf FRONT. :20 ft REAR. . :20 ft
� STORlES. . . . . . . x2 THIRD. . . . x0 sf REQUIRED
-------------------
HEIQHT. . . . . . . . :25 ft TOTAL------ : 1965 sf SMOKE DETECTORS. :Y
�
� FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 98310 PARKING SPACES. . :0
Remarks :
--------------------------------- PLUMBING -----------------------------------
� SINKS. . . . . . . . . . : 1 FLUOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . ;N
� LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :N
�
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . ..0 |
|
�
WATER CLOBETS. . :3 SEWER LINE (ft ) . ;O GREASE TRAPS. . . . . . . .N
�
DISHWASHERS. . . . : 1 WATER LINE
� MECHANICAL FEES ------------
� -_- UN-T HT RG. - t ype _'o _Lin t by -a .
11AX - 'INPUT:0 BTU _ FANS.' _ BPRT $ 4,3 0. -0 JLH2 �
FuRm ( 100n : / HOODS : ^ mPLC * 2/9 50 JLH 12/31 /91
U `N ) -100K ` ` `0 WOODSTOVES. :0 85PC 21. 50 L
GAS uu'LE ,S: 1 m,n/ v 42. 00 JLn 03/ 12'9c -
RENAISSANCE DEVELOPMENT CORP. M5PC $ 2. 10 JLH 03/12/92
,098 SW 8TH T 50 JLH 03 12/92
Phone #: 657-5-139
RENPISSANCE DEVELOPMENT
�,09f3 SW 8TH ST
WEST LINN OR 97068
Phone #: 657-5739
$ 48 TOTAL
This permit is issued suh.iect to the regulations contained in the REUUIRED INSPECTIONS
Tigard MuriciDal Code, State of Ore. Specialty Codes and all other Foot /foi-ind Insp Fireplac'e Insp
aoplicab:e laws. All work will be done in accordance with approved Post/Beam Stt,1_tc_-t Gas Line Insp
plans. This persit will expire if work is not started kithin le@ Po9t/Beam Mechan Insi.ilation Insp
days of issuance, or if work is suspended for more t�ar� 180 days. Plm/�.indslab Insp Gyp Boar-d Insp
:5�7'z�
Call for inspection 639-4175
) ' |
SEWER CONNECTION
CITYOFTIVARD OFTWARD "ERMIT
COMMUNITY DEVELOPMENT DEPARTMENT ` anooN FERMI r #. . . . . . . SWR 3._ x¢114
13126 BW HWI BW- P.Q.Box 23397.Tlp W,Or*W 91 (603)630-4176 \ � c _
411 . r-
3111- i4l)L)RE::SS. . . s 7867 SW ASHFORD ST PARCEL: 2S 1 1 i_CA•-1 1700
GUBD I V IS I ON. . . . : RENA I SSANCE WOODS ZONING. R--4. 5
PLUCK---_-r----° LU r ._._...,_..__4,._____._._._
TENANT NAME. . . . . :
U16A NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORD:. . . :NEW DWELL I NG IjN ITS. . : 1
TYPE OF USE. . . . . :GF NO. OF' BUIL.DINIBS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACL. . : : yf
Remarks :
-.-____ FEES -------- - ___...
PFNAIGSANCE DEVELOPMENT CORP. type amo1.rnt t)V date rec,pt
"98 SW 8TH PRMT $ 1900. 00 JLH 03/12/92 -
INSP $ x. 00 JLH 03/1f*='/92 -
Wc_:.: T E_INN OR
Phone #: 657-5739
Contractor:
CONTRACTOR NOT ON FILE
I I carie #: $ 1935. 00 TOTAL
Req #. . : -.__---- REQUIRED INSPECTIONS
This Applicant agrees to cooply with all the rules and regulations Sewer Inspect ior,
of the Unified Sewage Agency. The permit expires 188 days frog _ __.__ ____.�____ ..___. ---•
the date issued. The total amount paid will be forfeited if the -_----.-•---••••---
pergit expires. The Agency does not guarantee the accuracy of the -----
side sewer laterals. If the sewer is not located at the oeasuregent
given, the instailer shall prospects feet in all directions frog -_-_,_-,_` _____�._,..
the distance given. If not so located, the installer shall purchase --
a 'Tap and Side Sewer" Pereit and the Agency will ins 1 a lateral, — --- ---
permittee Sipnat1.rre :
15 s l.t e d B y:
Call for inspection — 639-4175
CITYOFTIGARD
T0F11. i°L.UMPINCS F'F_RMI'T
COMMUNfTY DEVELOPMENT DEPARTMENT 02500" PERMIT #Y. . . . . .. . : M ST91•--023A
13125 8MJ HWI Blvd. F.O.Ba 23:107.TOM,0r"m 97223(6a1)639-4176 \—
SITE ADDRESS. . . : 76C7 '33W i=1 .,Ftf QFtli :>'T PARCEL:
SUBDIVISION. . . . : RENAISSANCE WOODS ZONING: R-4. 5
BLOC----11,___._____ __________� .,,----• •
CLASS OF WORK. . =NEW GARBAGE DISPOSALS). - Il
TYPE OF USE. . . . &F WASHING MACH. . . . . . . : t BACKFLOW PREVNTRG. . :0
OCCUPANCY URP. . : 3 FLOOR DRAINS. . . . . . . Q TRAPS. . . . . . . . . . . . . . :IT
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . N
FIXTURES------------- LAUNDRY 'TRAYS. . . . . . rill SF RAIN DRAINS. . . . . : ).
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . .
t.AVATORIES. . . . . :4 OTI-IER FIXTUREG. . . . . :.0
TUB/SHOWE=RS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSE TS. . z 3 ,WATER LINE
UISHWAs-HERS. . . . : 1 RAIN DRAIN (ft ) . . . . :W'
Rewarkse
C)4lNEf3:
RENAISSANCE DEVELOPMENT CORP. IIF 4 1380. 00 JLH 03/12/92 -
098 SW STH BPRT 430. 00 JLH 03/12/92 -
SPLC 1K 279. 150 ,JLH 12/3001
WEST L1NN OR 115PC g 21.. 50 JLH 03/10/92 -
Phone Q 657--5739 SSDC 280. 0Q1 JLH 03/12/92 -
:X PARK $ 00. 00 JLH 03/la/92 ,-
plumbing Contractor-. ---- ..-_ •_J_.--.__.... _ MPRT t 4,�. 1�0 JI_Ii 03412/92
MVILC 1Q1. .50 JL-.I1 03/12/92 -
Name : C ... M5PC $ 10 JLH 03/12/9E- -
_ _ _
' pPRT 6 1.47. 50 JLH1713/1 c_'/9P
_
Addres
-
_ Nl)....._..._ _ State : . .
"Pc "7. ;38 JLH 03/ 12/92
Zip:-_-�rl
Reg > I Ci I y....._. ._
Y
- - REQUIRED INSPECTIONS
-This permQ is issued subject to the r Pg--
v1sltic•ns contained in the Tigard Municip&l Foot/found lnsp Rain drain Insp
Code, gt,c,ue of 01-0. Specialty Codes and all Port/Beam StrI_Ict Water Line Insp
other *Pplicable laws. All work will be done Past/BPam Mechan Appr/adwlk Insp
in accordance with appnoved plans. This Pim/und�: Iab Insp Ma(_^hanical. Final
rm4 will expire if work is riot started GLM/Underflnur Plumb Final
p
tT'ti.n 18IO days of issuance, or if wur,t• is Mechanical Insp Building Fina
n"Spenaed for- more then 180 (toys. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insf)
Gas Line Insp __..
�t)
Insulation Insp
(3y p Board I n vmN _._..,. -
9uthorized Plumt,inp Cr.ntractnr 5i gnat�..Ire
Call for inspection - 639-4175
ontrOLtor Notes
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rn a mtnFCm II to tnH33tnar+ Aaw Ell a
Permit No. ��1 J!
crri OF TIGARD
..IM PFI24IT APPLICATIOI\
'i'he applicant hereby applies for a permit for the work indicated or as shown in the
accotq)anying plan_, and specifications.
Renaissance Woods ZONING: R-7
SIGN LIX'ATTCNd ADDRESS: _-- -- —
NAME OF BUSINESS: — Renaissance Woods
APPLICANT/AGWr• Renaissance Dev. _— ()WAN.: Same _-- PHONE: 657-5739
The city of Tigard imposes an annual Business Tax which must be kept current on all
persons doing business in the City. Do you presently have a current business tax?
YES ( . ) NO ( ) U.L. Label # _
PROPOSED SIGN: (Cliedr, as many as apply)
PERMANENT ( x ) FREESTANDING ( x ) F'RFJ�111Y ( )
TE MFORARY ( ) WAIS, ( ) KLECMNIC ( )
CTIUM ( ) BII1BOARD ( ) BALLOON ( )
SIGN DIMENSIONS: 1' _x 18' _--_ --_—,.- E){PIRATION DATE:
TCML SIGN AREA (Sq. Ft.) : 18 -
WALL AREA (Sq. Ft.) : 3 x 23 _---�
WALL FACE: Inca Red Brick
HEICjU (Ft)_ 3' --
PROJECrION FROM WALL: None
IISLKINATION: YES ( ) NO ( x ) TYPE: `—
COPY; _ Renai.Ssance Woods -
MATERTALS: Brick wall with brass letterin — —
EXISTTC SIGNS: n/a _
ADMINISTRATIVE EXCEPTION: N/A ( x ) APPROVED ( ) HOW MUCH-_%
AREA ( ) HEIGh1r ( )
PLAINING DEPAIIMENr ---- All sign permits-must be aeoampanied by a scale
Permit Fee• drawing and plot plan. If work authorized under
Receipt No: a sign permit has not been oonpleted within ninety
days after the issuance of the permit, the permit
Date• 1"IrA V c L� ;L(' . I q_q shall becow null and void.
F�,F7CIRTCAL� PERNaT I CERTIFY `i4iAT THE RECDRDIID OWNER OF 'I1IE
REQUIRED: YES ( ) NO (� PROPERTY OR RI ZED BY 1I1IE OWNI�. .
BUILDING PEWIT "Ie
---
REQUIRED: YES ( ) NO C4 App.lican 's i tune
cp/BKMPL"IW Addresg Telephone
N:\WOM\COMDEV\V\
I i I
r RENAISSANCE DEVELOPMENT CORPORATION 2098 S,W,Eighth
West Linn, OR 97168
(503) 657-5739
Fox 656.1601
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CITY (IF T16APD RECEIPT OF PAYMENT RECEIPT NO. 9 i 1 1
CHECK AMOUNT x 19. 00
NAME: RENAMSANCE DEVP-I.-OPMENT CASH AMOUNT (6. 00
ADDRrSS PAYMENT DATE 03/26/91
SUM I V 191.11N
P!IRf:QSE (IF PAYMENT AMOUNT Pfl I D PURPOSE OF PAYMENT AM(JUNT PAID
-i- - -----' ---- -,..........
--'E�li[T F-- SGN91-00557 10. 00 M T SCELLANEOUS 9. 00
TOML, AMOUNT PO Ir? 19. 00