Report (18) II p STREET TREE
TIGARD„,,
CERTIFICA TION
-7
,,.
3! ( ., `�I, . C--(47- ow ` j l /�ner/agent for �� L)
(PLEASE PRINT) (PERMIT HOT.TIER)
do hereby cert that the following location meets ,
City of Tigard land use and development standards ��„ cod ,”
for street tree installation and is consistent
with the approved site plan. �/�`�r .vi
V
PERMIT NO.: M..S.7 0,20 j6, - no ty7
STl E ADDRESS: /.373 j t.AJ S,t c: 7- i O)
SUBDIVISION: ...-Al► i. f,.s -_ LOT#: 31(
SIGNATURE.- '.1 ' DATE.
--- z3//7
I ��� ER/AGENT)
RECEIVED &
VERIFIED BY• 10DAl E: ;..5C V 17
(CITY OF r GARD)
Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012