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CITY OF TIGARD - SITE PLAN REVIEW ��''
BUILDING PERMIT NO.: H 9cX)4- Gib /55 C3-44,-)
PLANNING DIVISION: R 3.S
,, ,, n Required Setbacks: Approved ❑ Not Approved
�` — `� `'� �'`d ° Side: .S St eet Side:
431 c h A c V Front. €7 Garage Rear: /S I
p� L w 4 1 Visual Clearance:' Approved ❑ Not Approved Pa t65 -fur 4_,,,C to - Ca nc et to .
Maximum Building He'fght• ,�(L feet -12 _ �i-
�ub�, -4 Service Provider Letter Required: n . Yes ❑ No
Received
BN : ( / d Ce4i,ti , . Date: (a- �? I
ENGINEE NG DEPARTMENT:
Actual Slope:% 0 Approved ❑ Not Approved i
Site Pla / ❑ Approved N Approved I
By: ( Date: 6, Ot
Notes: