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1203P SW SUMMER CREST DRIVE
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CITY OF TIGARD
CODE ENFORCEMENT ACTION REPORT
LOCATION: Z 0
TAX MAP: TAX LOT:
NAME OF OWNER:
ADDRESS OF OWNER:
ACTION TAKEN:
l-otter Citation
Phone Person Contact
Site Visit (s) Other
OTHER COMMENTS: ' O 11 h'`
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TYPE OF COMPLAINT:
Business Tax Sign.
Noxious Vege:.ation Zoning Violation
Open Storago of Junk Noise
Filling (Sensitive Lands) _jr_ Animals
Abandoned Vechile
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Others 11,2A ALT_
_ & j Y 5 .�r LST ,.c cl 1-GL 61 ILI��r►� ,
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COMPLAINT: ` DATE.
ADDRESS: ,' _- `� —_ P�!ONE NUMBER f
Referred to PLANNING ENGINEERING OPERATIONS DATE:
Case Oper2d: _ Caso Closed __ _
IFIERMIT TO CONNECT
Tigard Sanitary Distri.Ct
PERMIT' N9 1115 DATE
PERMIT IS GIVEN TO 1(—'(
OF
TO CONNECT A --
10 THE SYSTEM OF TIGARD SANITARY 'DIS."RIOT
AT
THIS PERMIT MUST RE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE. AND INSPECTION OF CONNECTION HAS BEEN '�OM-
PLF.TED.
PERMIT FEE PAID $ -� ............TIGARD SANITARY DISTRICT
....._....:..r..�;�.
CONNECTION INSPECTED AND APPROVED
Superintendent
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Address l? 2ti L,.JPermit No.
Permit chargee' _
Owner Y Connection fee --) '
Paid by1G =tel
Type of Building Date connected
Service Rate Inspection fee //
Contractor Paid by
Size of connection—Y Assessment _ Paid_ _y