15735 15745 15755 15765 15775 15785 SW GREENS WAY o u•1
-I --1 -J
w m
Ln in
J • (.n
E -,1
D cn
D IT M
l< Ell
rt
� jUl ►'r1�;4 J
i
~ N �
� i� ��� ;VtlI(AI 1 �•i'�i�4 �S
;*,. , • C-�I 'tl IIA ' •� '
I ��� '►-Ii 1 I� r vM�
i V1
TA' tk Tl
ff r I -1
r
r*t
\\ o
15735; 15745, 15755, 15765, 15775, &
'15785 SW CREENS WAY
SMSED MS S8LST. —
'SL49T '59LCT 'SSLST '4fiiLST 'S£LST
z �)
er
rt-.
u, CSI ��•I
I � ,
"Fe,
�� {) `'lo �1+:,11� '�1.•:13Tiit '.'ii '� •^I c.'prly
�JI��, I,� �� .,• ,vii. .�;,,=1•';,c'�yi,-I:c.l�•.fi-� w.1
I`•n i'
; j � ,;
+Niles Hlth�
c' c' IpG
�n�. �• I � y I~i. � �rt;l��:,�
in c I I• j ti. %t.l.,, 1-,,ir;_� :y I �i,� .rl�
cU ,x:1L rY
�o c '
:n m a
.-1 u
L7
Lf1
I- • C
rn c
� ' cnt
C
n Ln
*j r- c
I- r` H.
in In
�• �•.•...ri1F�.i•�MIY�t• iMWi1.1Y1IWr. MAW
City of Tigard
INSPECTION REQUEST
f c) r
INSPECTION TIM _ __. PERMIT NO. :. 3 �3
DATE: '! DATE ISSUED :- / I
OWNERS
ADDRESS:
CONTRACTOR : -
TEST :
ONTRACTOR : _TEST : Air ❑, Woter❑ , Visual ❑ , Laboratory ❑
RESULT: Approved IDisapproved C' Pending L7
SKETCH: E ic-
N3 ECTOR DATE
[NOTE Attach supplemental tjtt data her rt�
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: _ _ PERMIT NO. :1Z�%
DATE: / ZL DATE ISSUED :--- I I
OWNER:) NAME : Z Q-C
ADDRESS:
CONTRACTOR :
TEST : Air 0, Water[] , Visual 0 , Laboratory p
RESULT: Approvedo , Disapproved O , Pending O
S KETt;:H:
IN R rC;70R DATE
[OTE: Af�och supplemental 991 duiri bdrrt�
1
i
C� � , � � � +� . g � r�i
INSPECTION REC U EST
f r
i,NS'E MON ''1.'AE : ?'rRMi7 N .W3
O',vNE'RS N ME
ADORE%5 . �5 ;�5 s` S
E_ ppd,2! .
n � 4 %014
Tn
I
Ore.
I
SATE
i
INSPECTION RECUES
f
1ySE16-07ON ''IME : PER",!; •� �
ADDRE- , •
TE;RT' a;r6. ;
�3ULT: ;ppr-,y3 : 's .;, r���d
Xv
A
I
r,''
I .
, T,PE- : 0R ;)ATt
,�; d i'.1 h0 9 �
i
City of Tigard
i
INSPECTION REOLJEST
f o�r
I INSPECTION TIME : � _ PE
RMI r IJ O..
DA'.-E: /2 Lam._ DATE ISSUED:
OWNERS NAME :
ADDRESS :IPI 1,
CONTRACTOR :
ITEST: Air ❑, Mater ❑ , Visual IV , Laboratory p
RESULT. Approved Disapproved ❑ Pending ❑
SKETCH:
I
I
I
Ir�---- INSPECTOR DATE
`NOTE . Attach eupplemrntol tyt' data hereto
I _l
City of Tigard
INSPECTION RECUEST'
for
INSPECTION TIME : PERMIT NO. ' _._.
DATE: �L?U DATE ISSUED:__.:
OWNERS
ADDRESS : _
CONTRACTOR :. Lic
TEST. Air C , Witer ["j , visual Loh oratory
itSJLT: Apar_vad4 ::3:ip;rovsd ❑ pe.jing E)
S.\ETWM,
I
1,NSPECTOR DATE
I
[NOTAAt-ach w,,pp;cmental t*e' data here'-)]
I
I
City of Ti g a rd
I
INSPECTION REQUEST
I . or
INSPECTION TIME '—pt-, PERMIT NO. :
i DATE; ������ ''s DATE ISSUED:—I---,
I OWNERS NAME :
ADDRESS : _--
I
CONTRACTOR :--.---
TEST'
ONTRACTOR :__.___. --TEST' Air 0, Water L] , Visual ❑ , !aborator, ❑
RESULT. Approved / , Disapproved ❑ , Pending (]
SKETCH
'
I ' ,
I `
I
I
I sP/ 64 OR DATIE
ICTE . Altoch supwtmentul 46V V :tu hnr®t:03
A
pl& '
City of Tigard
INSPECTION REQUEST
for
WSPECTION TIME: OERMIT NO, :—
DATE: -�b---i/51 '� DATE ISSUED '.
OWNERS NAME :
A D U R E S. 3:
TEST * Air O, Water[] , Visual [] , Laboratory p
RESOLT' Xnpr-vnd,p , Dies arov-d O , Pending
--T '� - - ... _ ... _ .
7.
SKETCH:
S DA rE
r
i
N,,._n.,r+-r:«.r,,.�..,,.v rw.. ..� _y�'O"-'^*. -'7aFNR'°�c'�M�. we,^«,•.•.wv.,"1,.P�r.,r_....T..-._. .,�i
�pq :iTY ON
BUILDING PERMIT APPLICATION TIGARD DATE—__ _—__, 19 fJNo 0393
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYIN97B„ANS, AND SPECIFICATIONS, OWNER PHONE
OWNER Tya,1dt.i n (}sus* Coo ADDRESS Sotiu1♦ GrelvI BUILDER PHONE
'_,4VINEER
BUILDER ���r _ _ ARCHITECT _DESIGNER
STRUCTURE ❑NE_:V_rr,� ❑REMOD'ZL ❑ ,,DUIITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLI"TION
❑ RESIDENCE ❑COMM EIEDUCAT'.JNAL. ❑GOV'T ORELIGIOUS❑PATIO ❑CAR°ORT OGARAGE ❑STORAGE❑SLA13 [:]FENCE
❑BUND LJMOVING ❑CONDITIONAL USE. ❑DESIGN REVIEW ❑COUNCII. APPROVED ❑SIGNS
QCCUPANCY��-LAND USE ZONE-----BLDG.TYPE_ I'IRE ZONE PLAN CHECK. BY__ HEAT
Ulu 1 .I .1 - 2 bedrtlt?ns I bath
- 35filronme 2 tsgtlT----
2 - t ylld�u�►— -1 bath --- ------ -----_
OCC, LOAD _TFLOOR LOAD _ _ HEIGHT NO.STORIES -7 AREA 9433, - VALUE 1 0-440 013
BUILDING DEPARTMENT .lr� IA?-6 13-0 1b
SET BACKS FRONT REAR —
LEFT SIDE RIGHTSIDE
Permit j,+t � �, ^�
� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pla; Check REGULATIONS AND ALL APPLICABLE CODES ANR ORDINANCES, AND IT IS HEREBY AGREED THAT THc
WORK WILI BE DONE IN ACCORDANCE WITH THE.PLANS AND SPECIFICA rIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORO!NANCES THE ISSUANCE OF THIS PFRMIT DOES NOT WAVE
--�- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CON7'RACTC)RS TO HAVE CURRENT CITY BUSINFSS
11M State L • LICENSE. SEPARATE PERMITS REQUIRED FON SEWER, PLUMBING AND HEATING.
Tote! w 606*94
AY -
_- APPLICANT OR AGENT
Approved Receipt No. I L. «
q VyAr�� PI 1()NE
DATE INSP. TVI'F INSPECTION REMARKS PLUM81hG D.TE
4/ ; i/3 Ole Contractor
Permit N 35
Rough-in
A, /i% :L7i /t' F i x tl -e --- --
9—S 1577C_-94?L.6, Final
?'�'� %� O -- t' i1• ��� — —'HEATING109 - log — -
_ ontr�act r
�4i[ �s LL��� %1 •1/3-1 4_10u PermtNo. Ayj
Gas or
• V �� l� 1 '�l l/0 // _ O _//3 Rough-in
� a'�../ //" Ztt.c j,.a;- /f� ?/•7{ Final
ZZ --r;Ts-,
/��-/L7�_ /S 7Y4 /S ii S Ci�RKYY1.lC H�� Final
3S �K EST r� �P--01&_T—b�-- -- DRIVEWAY41.
_ _ �CcwS COG -fi�Cir I�G�Pt+-�C F- yr03 �fOl Its Final _
Storm Drainage---
- (Rain Drain► Final
-- -- —_ Sidewalk
Curb&Street Final
A roach_ ::J
BLDG.DEPT. FINAL TEMPOkARV T
CERTIFICATE OCCUPANCY
/>) O CERTIFICATE OCCUPAtI%V Final
S 7; I andscaping
S //-Z` i
7mling Final
CITY OF TIGARD
12420 S. W. Main Street
TIGARD, OREGON 91223
�y APPLICATION FOR BUILDINj PERMIT
New C,nstruction Demolish C -- Addition ❑ Rcmodel�❑ Move❑
ZONING p- n_ _ DATE ISSUED_ BUILDING PERMIT
DATE RECEIVED BUILDING FEE $�;a�/� -,� No. _
PLAN CHECK $ '• ` O ~J
BY� _— OTHERk� VALUATION
TWAL 4"C'$-- � � � RECEIPT No.
TWO SETS OF PLANS AND PLOT PIANS MUST BE FURNISHED WITH APPLICATION
LOT #1Q&_:J(2 � MAP #.:21.j/ -1/jr- CENSUS TRACT JOB A _
Architect or Engineer
Address (I�16 S.W - PqR064A n- —_-- Phone��_'300Zi
owner -a T L mV --w—
Address
-wAddress ----—- Phone
sv �LF, 3 ---
guilder--:F-LIAL; -D�UF� 4C4i4 – CO _ ------ -----
Address _ Phone-L'�„J �ld
BUILDING USE Single Ree. C J Multi Res. ® Comm. ❑ Industrial❑
OCCUPANCY GROUP_44 No. of Stories ti Total Height-1-4-1-- Area of Lot26,40C
rl Ot
Type of Construction I II III IV Floor Area B11CD 24---
Set
_Set Backss Frontwt Back_W L.Side 16 R.Side AA 1
Private Sewer Pipe Size-- ____ Sewer Syptic Tank ❑
Water Servic ., Pipe Size Stosm Sewer Ditch ❑ Drywell❑
Street and Curb Requirements
Driveway Width — No. of Parking Spaces—______
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMHIt"
SPECIAL INFORMATION
4 lie% — ------ ---------- —- ----
ADDRESS ASSTGNED /57H-'i =Pr 71 S'-/l76' '/173`S "/}1ff5- /T W E'A4 ilN', oily
FIELD CHECK BY __ —DATE __
PERMIT APPROVED 7dr
It is understood that all work will conform with app.lica a codes and ordinances
of the State of Oregon and the City of Tigard, Oregon, and that the building will
not be occupied until a Certificate o;ggn
cupanc ha een is ued by the City of
Tigard Ruildiny Inspector.
Lure •A al not
E'JUBIT "A"
CITY OF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL X2N :,Y MESE PRESENTS, That occupancy of resider.cisl
structure (s; ;," the following described lands prior to the recording
of an occupancy ,,r.:mit releasing the restriction in the Deep. Records
o: Washington County, Oregon, is prohibited, by the ordinaneo of the
C ty of Tizard, Oregon:
DESCRIPTION uF PROPERTY: Summerfield - Lot 11'2,
As recorded in Book 'i•3 , Pa6e .3tj_, Plat records of waah_ngton
County, Oregon.
A=AESS OF 11POPERTY:
IS4I2' Oi OWNER: `�Uc. ('.��, : !� - . 1 ,•
ADDRESS OF OWDra:
IN WITNESS VMREOr, the undersigned has cauoe/dthis rostrietion
to be exocuted Vii_ _ 1.�. day of ��'t'•�,,/ 19-4
' .ti %
APPROM t Byj
°, i1d17 ing GCf.'tial
City of T:&Ari
STATE Or OREGON )
County o� Washington ) ss.
192y.
ersonally appeared before me the abo�ra named
and ack7owled.Ged the foreLto:ng inetrumer, o�
volunta~y act and deed.
Not. r y Public . regon
My omm.esion Expires:
ZMIBIT
CITY GF TIGIM
Residential Structure Occupancy Rustriction
KNOw ALL KZN BY UPESE PRESENTS, That orcuRarcy of residential
structure (s) on the following described lands prior to the recording
of an occupancy permit releasing the restriction in the Deec. Accords
a: WashinGton County, Oregon, is prohibited by the ordinance of -.he
City of Tigard, Oregon:
LESGRUTION C PROPERTY: 6um:nerfield - Lot 1�
A,5 recorded in Book , mage , Plat records of Washington
County, Oregon.
nJJR ,a 0^ YROPF1c : I j:2;Lt!
0'F 047YER
T'-
ADJ U3SS of 0147L3: �r�� LLS:_
IN W-Ti,7ESS WiiM07, the u:.dersiGnea has caused this root;,lotion
to be executed this day of �412�
/
OWIW,R:
1IImC
APPROVED: .-f% ' �J
Title
Byt
B lding Cfficial
City of Turd
STATE OF ORF.GOYJ
County of Washin„rton )
o rso.u,lly appeared before me the above rx wi:d
and acknowledges the foraLoinb instr'imer.t� o
voluntary act and deed,
Q�.���.i�17.7
s iry Public
My Com¢.'.ssion Eypirer :
CITY GF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL 1WN BY THESE PRESENTS, That occupancy o: residcrtial
structure (s) on the following described lands prior to the reco:•ding
of an occupancy permit rele3-ing the •restriction in the Deep. Records
of Washington County, Oregon, is prohibited by t,-,a ordinance of t:.o
City of Tigard, Oregon:
DESCRIPTION OF PROPERTY: Summerfield - Lot ].�U
As recorded in Book � paac r Plat records of WAshington
County, Oregon.
ADDRESS OF YROP.0'2"'t I ,c:'7(.,`� 4(/ l_r'�"�:-r s I�/�✓
NO2 OF OWNER:7F r, r
ADDIRESS OF 012M': Li3C--)Q I
IN 'ZT,NESS !-raREOF, the undersi,3ned has caused this restriction
to be executed thio I/ d&y of ,�7.• 19 .
Ohh R i
/ Name
APPROVED:
/ ..
APPROVED: gy
T:bl�
Bys t).w�
BGildirg Cfficial
City of Ticard
STA ZE OF OREGON ) 56.
County of Washing mon ) ----�v � ,
-arsonally appearoA before me the above naroa
and acknowledged th foregoing instruz.' .t v b�
voluntary act and deo
CL_1 uw�
Notdry Public i O.a"cr.
My Commission Expires:
MUBIT "A"
CITY OF 'iICARD
Residential Structure Occupancy Restriction
KNOW ALL MLN' BY T11MSE PRESEN S, That occupancy of residential
structure (s) on the following described lards prior to the recordinC
oP an occupancy permit releasing the restriction in the Deet. R000rds
of Washington County, OreEon, is prohibited by the ordinance of the
C; ty of Tigard, Oregon:
DESCRIPTION OF PRO:ERTYt Summerfield - Lot Lca
As recorded in 3ook , Page e� , Plat records of 4lashin;ton
County, Orogon.
ADDRES'S OF PROPERTY:
NAME OF-01"ERt '
�.
",DJ4'125S Or GW:W:
IN WITNESS WHEREO:, the undersiLned has caused this rostrictioa
to be executed this day o:' 19,x•
OWIM t
r,;ea' lane n o,
T
Name
APPROVED: Byt�j.
Byt
tit.,
B ilding Official
City of V.gard
STATE OF OR:-MN ) s n
County of WaehinZton )
ersonally appeared before ;he abova need
and acknowledges the orefoing instru e t to be
voluntary act and deed. �
-"y Public i Gragon
My Commission x,ires:
EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL MCN BY ESE PRESENTS, That occupancy of residential
structure (s) on the following described lands prior to the recording
o: an occupancy permit releasing the reatrictiGn in the Dae6 Racords
of Washington County, Oregon, is prohibited oy the ordinance of the
City of Tigard, Oregon:
DESORii'TIO.V OF P c?ERIY: Swomerfield - Lot I06
Az recordea is Book , Paga , plat records of Wftshington
County, Oregon.
ADD.-Z:5S OF
,xpay; or
ADMOSS Of 016a' : 1('-r. _ ; . 1 .4
IN WITNESS W,C TZ0:', the undersigned has caused this restriction
to be e:,:euted this �� day of , . 'I 19.�
OwaR:
i •v�;.orr �r.rrcr ....
v,PPROVED:
o
EXilding official
City of Tigard
STATE OF OREGON ) as.
county of Washington ) 192,L4
rsonally appeared 'oeiore me the above nazed
and acknowledged the foregoing instru ent o tr;
voluntary act and deed. /
Public :CzJn '-
My COM-nibsion Expires. _
EXHIBIT "0
CITY OF TIC/RD
Residential Structure Occupancy Restriction
KNOW ALL i'v= BY IMSE PRESENTS, That occupancy of residential
structure (s) on the following described lands prior to the recording
of an occupancy permit releasing the restriction in the Dee(. Records
of Washington County, Oregon, is prohibited by the ordinance o the
City of TiZard, Cregon:
DESCRIPTION OF PRo?MTY: Sumnerfialo - Lot Ila
As recordea in Book , mage _, plat records of Washington
County, OreR
ADDRESS OF 1 �j_,7 3 V/61
NAtIM 0 O'nivri2: `„ :• t_t�'!: ' P nn
C"
ADDRESS 01' Oh^i_:3: -i-i 7 C) ', yk1I C . -
'
- .
IN WITNESS 'MREOF, the undersiZnel hau causes this restriction
to be executed this �� day of
C'rfMi
APPROVED: Bye .lame �
` f
Title
By:
B"Iding ficial
City of Tigard
oTATE OF OREGON )
68.
County of Washin;,-ton ) 19�;
ereonally appeared be•£ore me the above naaed
riT and acknowledged the foregoin;; _nstrutc to ca
voluntary act and deed.
4•Aw - i tiw�'C-�
�t:r i'ubl: fo gen
MY Comm scion Expire,:
440'7
EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL BY TIr�SE PRESENTS, Thct occupancy of residential
5tructure (s) on the follc-iing described lands prior to the recording
of an occupancy pel-mit releasing the restriction in the Deeu Records
of WachinGton County, Oregon, is prohibited by the or,:inanca of the
City of Tizard, Oregon:
D.ESCRIPT.ION OF PROPS tTYs Sumnerfield - Lot 1LIZ-
As recorded in Book _ Page 1A_, Plat records of Washinirton
County, Oregon.
ADDRESS OF I'HOPi RiY s1I7 q 47
NAIdQ' OF OYINER s
ADDRESS OF OWNER: C7 C) `, �/. �( � � c � C-s. , c 1
IN WITNESS WIGREOF, the undersigned has ca"Gedd''this restriction
to be executed this / day of 19,Z,11
OWNER:
,o cent Cor•�.
Name
APPROVED:
By:
Bys �.� - �C.,. — .,•�.� ' H^..�.�.s0.. /at .AM r M.
Building Official
City of T_+Lard .� ']
P�........... .............. __..........0.(.:..�Sa.� bob-.n•. i
STATE OF OREGON ) ss.
County of WashinELon
.rsonally a,pcai ed before me the above rr'r.;ed
and acknowledged the forc:,;oing instr men to be
voluntary act and deed.
1414.= R L>�ry
,;6t,ry Public or reFon
MY Comm'.uaion Expires:
H,14 U71 !.U477
(
. �t 16 \ `
\ i
§ ! �7l:
» \ % �7ik■ #! k �
�
�
, �
4406
MUBIT "A"
CITY OF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL ICN BY TIMSE PRESENTS, That occupancy of residential
structure (s) on the following described lands prior to th recording
of an occupancy permit releasing, the restriction in tho Deec. Records
of Washington County, OreEon, is prohibited by the ordinance of the
City of Tigard, Oregon:
DESCRIPTION OF PROPERTY: ;wiimerfield - Lct (11
„a recorr,rd in Souk )_, Page _ �, Plat records of ',:'ashin,*ton
Cnunty, Oregon.
ADDRESS OF PROPERTYt
11ME OF
ADDREriS OF OVNLR:
IN WITNESS WHEREOF, the undersiCned has m usecd this restriction
to be executed this �_ day of ' J .9zy..
OWMM i
Tualatin orment C
Name
APPROVED: jr1 7f
Title
Byi
Am rx
Bu lding Official MCF0 � A—,.t, ti r—flo"I
City of Tigard ,�,-J-
STATE OF OREGON ) 6s.
County of Washington ) 'I,�` Ij , 19.,74t
Personally appeared before me the stove named
,xa _ and acknowledged or.agoing instrume to be
vo.lwitary act and de ,
,c I�IA ��.,.T�..
i1 tory Fublion
My Comm'.scion Expires:
NOUN 971 1ALL476
4-6
!• | .I �
,
CrIl
�w
t,
4405
EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL 1•WN BY PRESENTS, That occupancy of residential
structure (s) on the folluaing described lands prior to the recording
of an occupancy permit releasing the restriction in the Deet. Records
of Washington Courcy, Oreton, is prohibited b, the ordinance of the
City of Tigard, Oregun:
DESCRIPTION OF PROPERTY: jummerfield - Lot 11-0
;.s recorc.ed in 3ook �, Page _, Plat records of Washirr-ton
County, Oreton.
ADDRESS- OF 1111O1''10TY: "/, j 5 V./
NAM: OF
ADDRESS OF CWIER: 3C��J „1.W 11(C, ./p-
IN WITNESS WIEREOF, the ur c rsigned has caused this restriction
r
to be executed this -� day of ,(�/J L 19-
')W:v R:
TunI.--ttin went
V ,,•Name. .
APPROVED: By: Gil 't-
T�tle
By: .nuc. .o FVIwA int rwantd G .�.Q10 I,M.,/...AM.FM.
Bu fling Official ��'° rooms N, rhe--t oV Ibarr'u ti F.IwrheM
City of Turd "4 ) N Pi11,
STATE OF OREGON ) sa.
County of Washington ) .� 19�,
% ersonally appeared before me the above named __ n
and v,: nowledged tho for<I;oing instrumen to be
voluntary act and deed.
r
Io ry Public ao-
My
Commission Expires: _
Zz_
noon. 971 PALL475
�
\ � .
{ ƒ| % > .
� I
14
. \!�
� � !|f■ ), !
t 4404
EXHIBIT "A"
CITY OF TIOARD
Residential Structure Occupancy Restriction
KNOW ALL IC'N BY MESE PRESENTS, That occupancy of resid 1
structure (s) on the following described lands prior to the recording
of an occupancy permit releasing the restriction in the Dee(. Records
of Washington County, Oregon, is prohibited by the ordinance of the
City of Tigard, Oregon:
DLSCRIPTION OF PROPERTY: yunmerfield - Lot LC_,
An reror;led in :Souk _3 3 Page �2_, Plat records of Wsshin,,`s n
County, Or�ron.
ADMOOS OF PROPERTYi J---F--2j-'1Z— e,
NAM} OF Obol*',R:M.0 CA I C1 - .V-A e (c, ;�
ADDRESS OF OWNER: ,j,-\Al. r
IN WITNESS WHEREOF, the undersigned has caused this restriction
to be executed this `�� day of iL 19 .
OWDMR:
Tualatin Cog, n.'. Inc.
Name
APPROVED: Byt
Title
By: i�� .u,1 ,/ �P. _ Im�eentdf-�gU
B ilding Official p uM" M, ouwrmr d —rdl k ci.moo.
City of Tigard 1
STATE oF Oa ) ss.
Washington
County of Washington ) !i 19 7k.
ersonslly appeared before me the above rained '
L,� and acknowledged the farogoing instruticntTo be
_ voluntary act and deed.
Nota y 1'ubiic r r,18on
My Ccmm:ssior_ Expires:
Bou 971 I',%L474
of
W
h �
1
4 ,
4403
EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL MSN BY THESE PRESENTS, That occupancy of residential
structure (s) on the following deseribed lands prior to the :^ccording
of an occupancy permit releasing the restriction in the Deec. Records
of Wash.._gton County, Oregon, is prohibited b, ordinanec of the
City of Tigard, Oregon:
DESCRIPTION CF PROPERTY: Summerfield - Lo;, I V&
�a rrrcoraed in Jook `, Page r , Plat records of Washini-ton
County, Oregon.
ADDRESS OF PROPERTY: 1_w 7h'>� S W
NAME OF CA�
ADDRESS OF OWNER:
IN WITNESS WHEREO?, the undersigned has caused this restriction
to be crecuted this �� day of '
- z -- 192y,
/ Name
AI'r'ROVED i ay:
T:tlo
By: iff
ilding OfficialsC" "
pUMRR
Cit of Tigard
poCsB+tN.Dltw,r/+w d} 14--"44 S E1�1ea�
ST,kTE OF OREGON
CoAnty of Washington ) 19.4s1,
4&ersonally appeared before me the above named
At 1A)h and acknowledged the foregoing instrut,cnt Ao be
voluntary act and deed.
Notr ry"I 1,L llc f')r �•o
My Commission E irea:
Boa 971 nu,473
~ v
-All 16
.di. o' -3 € =
a
e 6 €
1 u p
V