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LOT 135
HUB AND TACK CERTIFICATION
NE & SE 1/4 SEC. 6, T 2 S, R 1 W, W.M. i
CI TY OF TIGARD, WASHINGTON COUNTY, OREGON -CV*
SURVEYED JULY 19, 2017 0*
PREPARED FOR: LOT
POLYGON NORTHWEST COMPANY 137
109 E. 13TH ST. 3PUBLIC UTILITY A
VANCOUVER, WA. 98660 EASEMENT
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10' PUBLIC UTILITY
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136 10.00'
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-- TRAVIS C.JANSEN
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.0 RENEWS:6/30/2019
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.g. I, TRAVIS C. JANSEN, A REGISTERED PROFESSIONAL LAND SCALE
A SURVEYOR IN THE STATE OF OREGON, HEREBY CERTIFY THAT 20 0 10 20
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I HAVE ACCURATELY SURVEYED AND STAKED THE OFFSETS
.9 TO THE FOUNDATION ENVELOPE FOR LOT 135 OF THE PLAT 1 INCH = 20 FEET
op7r OF "RIVER TERRACE EAST".
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DRAWN BY: 1_2 DATE. 8/23/17
97 PACIFIC COMMUNITY DESIGN
.:a REVIEWED BY: TCJ DATE: 8/23/17
PLANNING - ENGINEERING - SURVEYING
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PROJECT NO.: 395-041
(503) 941-9484
FOR OFFICE USE ONLY-SITE ADDRESS: I
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project. i
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT11
Transmittal Letter
7111
TI G A RD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.2ov
TO: Tom H. DATE RECEIVED:
DEPT: BUILDING DIVISION RECR IED
AUG24 017
FROM: Angela Grajewski
COMPANY: Polygon Northwest '=''T D `f , N „
PHONE: 971-212-2144 Byyi�/0
RE: 13045 SW Redfox Terrace MST2017-00215
(Site Address) (Permit Number)
River Terrace East Lot 135
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
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1
0 Additional set(s) of plans. 3 Revisions: plot plan- aie Se,,4jq(,(,Lf
0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis.
0 Floor/roof framing. 0 Basement and retaining walls.
0 Beam calculations. 0 Engineer's calculations.
0 Other(explain):
REMARKS: Please pay fees owed with Trust Account.
Foci)* :\ S m r
Routed to Permit Technician: Date: Initials'
Fees Due: ❑ Yes ,a--g-6 Fee Description: Amount Due:
sM ',; $ V
$
$
Special I'Q� ,-lir' -71-v /(i k/(.//'' . ‘e7L7L1,vt.rr U u4/-tet/7 i/
Instructions:
Reprint Permit(per PE): Yes I n No I I Done
Applicant Notified: Date: , 1,�Z y//7 Initials: 7-/ -
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012