13416 SW 136TH PLACE i
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CITYOFTIFARD MA:y'TER PLRMTT
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COMMUNITY DEVELOPMENT DEPARTMENT C"Y IRWD�
1916 SW HWI BWL P.O.Bar 23307,Tomr.,Orgpn 07223(603)630-4176
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COMMUNITY DEVELOPMENT DEPAWMENT 4. . . . . . .
COMMUNITY
P.0.Bat 23WJOW-01"m 9=(6W)639-4176
SW 136TH PL
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BLOCK.
'-Lj,.pt4,1 NAME. F I XTLJRL UNI TS. . - I
L J&I NU. . . . . . . . . . s DWELLING LINI'T'S" " ' I
CL A� `, OJ7 WORK. NEW NO. C)F.* Ru I LD I NGS
TYPL OF USE. . . . . z SF f
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Remark-31. PIT-H I
FELS
awtiei-: b date
R W FULL-1�1'6'UN Pe 'p-1 0,�/
PRMT $ 8100- 00
9 700 sw �;PP 11 AL HWY
i H1, 03/
PURTLOND OR 1,j7c119
2 —E , -1
93 L1,
CmitractOr'C
ON F1Lei:
LAO
TAL
I
Ns Applicant agrees to cosply with jiL the rulti
of the Unified Sewage Agency. Thf, p0i'lit expires 180 nays fro#
ttie date issued. The total 410unt Paid will be forfeited if the
ptroit expires. The Agency 00ts not guarantee the accuracy of the
'atv�als. , is wit iocattc at the 1935oreffl)t
iew , If the sewe,
Iver, the installer &hall Prail)lct 3 tett in Ali directions fro%
;he jistancl 11ven. if not go located, th 1-talite, purchase
t
6 "Tip and Ndt Sewer" fift-lit And the 4/1 ,
...........
1,411 4t 1.we
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Isliusd Byt
C,A (,39- 41'75
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CIT)( OF TIGARD 13MswH"W"L PLNGIy2ECT t
COMMUNM L)L'VEL0i'M1:NT L)U'ARTMt N'1' TipngcNcgQQviva PERMIT # .nl
DATE ISSUED
JOB ADDRESS: l j`{ �' S G /-3 G�! �P. _ TAX PIAP/LOT (C,r'U G .hI.S
)us: I�_;��,.__._"' LOT: LAND USL: _
VALUATION: i•-Zi
WNf
NAME: �Li �= 2,_- R[ISSUE (Ir:
(:DURESS- q��` `.�-r �.�ti', c�w�' `7 cam"2-�;� LAST REISSUE:
�k ,- ^.-.Ir C�� �r� -��� r FLOOD PLAIN/
PHONE: "t-`� 2� t`t SENSITIVE LAND:
Q TR O.0 APPROVALS -REQUIRED S;06 9.0 t.�Vo/
NAME: __L> V•4 �- �T.�._� _ PLANNING: ` '';. StI !y�, Y)IFrU�;S
ADDRESS• q �� �= '����- Ir -� `'�� Z�`J 00NEERING:
-77- FIRE DEPT:
PHONL: 7`>�� - z t� _ OWER:
CONTR. BOARD N: EXP DATE:
1LLNt�l V1i1:CR
SUBCONTRACIQRS: PLUMB: LIST/5USCONTRAC-104:
MCCH: OUS TAX: _
ARO/&1B12 CALCULATIONS:
NAME: ,- •���.;� -� ��-_,_.mac_ TRUSS DETAILS:__._
OTHER:
PHONE:
PROPOSED UL (i. USE: ►L� o.��•, «.� �,,•���•.� �...;.�
CUMMLNIS: AX) iV0YVri[.
APPLICANT SIGNAIURE
Received By: _�_� Date Received: '
EXEMPTION FROM MAXIMUM SHADE POINT HEIGHT STANDARD
I/We, the undersigned, as legal owners of record of the property
descibed as:
J of ����`�N`�C
Lot a� _ Subdivision
Tigard Address_
Tax Mari and Lot Number________
do hereby release the property owners of adjacent Lot Nr'�
of cz_V_-' —_Subdivison, also known. as Tigard
address 1�,� \U2 ���1 \�.�� `�► A�
and as Tax Map and Lot Number____ — —
from complying with Community Development Code Section
nee
18.88.050.G (Maximum Shade Point Height Standard) , agree
that the structure may have a shade point height of pet,
.
thereby allowing shade on an area otherwise protected by Code
Section 1E .88.050.U.
In addition, I/we also release the City of Tigard from liability
for damages resulting from this adjustment .
Si nature
Signature
State of Oregon )
County of ) ss
This instrument was signed or attested to before me by
and
on /1 _r 1993.
--------------
Signature of Notarial officer
My commission expires.
(Notary Seal)
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br. /rlt/Exempt Mst. My CommissionExpres