Report N STREET TREE
N
TIGARDCE ION
RTIFIcAr
, owner! for owner agent 5
(PLEASE P
I� � c�� �✓ �.�NT), 'J (PERMIT HOLDER)
P�
do hereby cert that the following location meets
City of Tigard land use and development standards
for street tree installation and is consistent
with the approved site plan.
PERMIT NO.: 11. 1
SITE ADDRESS: c'l Zrj1/,\ U 1\ <ot
�,�CC-) �.. 5 � 5 LOT #:
SUBDIVISION: � '" �'
SIGNATURE:
DA"11J: 7:3
owl ' . ENT)
RECEIVED & _
VERIFIED BY: DA"l E:
(CITY Ali 'RD)
Tree location verified per approved site plan.
I:\Building\Forms\StreetTreeCertificate 05/30/2012