SLR6-86 POOR QUALITY RECORD
PLEASE NOTE: The original paper record has been archived and
put on microfilm. The following document is a copy of the
microfilm record converted back to digital. If you have questions
please contact City of Tigard Records Department.
,.,. ...;.;,:,..:... ....T... :." .�.,.'. :'.�....
..>
,t'P�t.'.x+u..,_::,,-.. •{�:. ,.
L �1�
�fw
.yl^
f.
.kk
4l( 1 4 , i h - -,4 a r l r M�.,=;.0•$a? 4,._:•n,4?SL, sri .q4e , 0.af i � ±.�ka w " �++a r 3, s,.n. t«i.»i.c,a��r ,x + 1 : I 4 N AY "a k � ry+� 2 $Y I,{.T sa y-a 1 4 x.r,t f d5 r ti,a�fik u 1. . # , N �i 1 + 1 w+R.Y x0.1, fAb. r'nu .„::::
� r•,a. I Ir .. , . , 8.,,s`emu t.ro„tF TM .{.xr,,x'Yr?+al.?fi?St-SNf t,w„xx ve+.at " 'r*F��L. .+„w.yrM � t} �^;z�' �� JMn 7�!. f x.� T r
: �^ , t' ,.wow-.v;tM i'` 'uJ nJbr "."''''''=*" 7 Ma y4 #«*�'.r �+ ' ,T ;.. .. ..�.,. ynd« ? ,,. ...y r
o
St,.
4 M
1..'''".',':,1•'..:''
{
r
r
! F
r. r•
t
,
I
mot'
S.
t
i
M
P•. per® ,
ii,.. 2 '.: ''.-:.
:'; —I
i.,,,
r;,
..
..
.,...;
. ,
,„ s
..
r
...,:-, . , ,.,.. - . , - , ',',=,
,-.,,,,....--,,,,-.... „.:::::.;::,,...-i.,..,...-,, :-, . , ' ,4
,:‘,,!;',:',3..,,,...,:',...,':.:'i-,'...r y �
r•
t FA.,.. 'P 14. '.J...
r^ •O
s
✓ ,,``1 SENSITIVLANDS APPI.ICAT I®N
<, ;),...12,'..,
'%.II rr t 3 jit°0 14‘1P '
'1,t:''''' CITY OF TIGARD, 12755'` SW Ash, PO Box 23397
x FOR. STA ,
Tigard, Oregon 97223 ® (503) X539-417 . .., . ►,
z NO. �_ �5
' 47. RECEIPT NO. /i25p j
4 y.
Jp!„1 ;7/
K L • ',..4-..„. APPLICATION ACCEPTED $Y: ,
DATE: .,
Pp
1. GENERAL INFORMATION Application elements submitted:
PROPERTY ADDRESS/LOCATION L (A) Application form (1)
,
a y
* Be:.,, . (B) Owner's signature/written
TAX MAP AND TAX LOT NO.
c)(3 se SI, *_: authorization
(C) Title transfer instrument (1)
SITE SIZE . , eL
(D) Assessor's map (1)
- PROPERTY OWNER/DEED HOLDER* ,e : P _, e,s (E) Plot p lan (5 copies) ,;
I'UONE 4 ;7&2.. (F.) Applicant's statement ,
ADDRESS C� �� � ....
CITY ZIP (5 copies) ,
'
i a, 1 APPLICANT*
. A (G) List of property owners
t
ADDRESS
PHONE within 250 feet (1) ,
�.,.
i 1 CITY ZIP (H) Filing fee (Hearings Officer
:* E
y *When the owner and the applicant are different $500/Planning Director $150)
' people, the applicant must be the purchaser of record ,:
x or a lessee in possession with written authorization DATE DETERMINED TO BE COMPLETE:
1 from the owner or an agent of the owner with written
g ` authorization. The owner(s) must sign this
. 1:51- application in the space provided on page two or FINAL DECISION DEADLINE.
submit a written authorization with this application.
,
COMP. PLAN/ZONE DESIGNATION:
r
)'° 2. PROPOSAL SUMMARY
' 'he owners of record of the subject property
_. request a Sensitive Lands Permit to allow
', Construction of N.P.O. Number:
u
S.W. 13th Avenue Approval Date:
�' s�fr+ awa '.pis �•
Final Approval Date:
Planning
i. Engineering �; ,:k; .
I.:.y 3 { ' V
:::-',.,-,.,..::1-„, {
u a ,rL ' A 1 4 '.. .i'4
tr
4. .Lis ; any vari nce , .conditional uses or;other land:`us'e. actions' Ito''be considered
a
• M as part of this- application,
`�chments:k _
�v �►p�li�ants s� -To. ,have �� ,,coa�p�.ete; app�.�.cat�.on �r�u wf�:�. need. thx �aa�m�$.t at:��.�_,
described in the attached information sheet. at : the time you submit this.`
r< application.,
6 THE PLIC TT(S) 'SHALL CERTIFY THAT
L
A. The abo!e reausat does not violate an deed restrictions that any be
..::',it.:''''-'• w -
t Cached i�u d u.on the sub :e o•ert ,
-•, B. If the application is, granted, , the applicant .".will exercise the rights
r '. granted in accordance with the :terns and subject 'tO all the conditions and
limitations of the approval.
• . c All of the above statements and the statements in ,the plot, plan,
',, attachments, and exhibits transmitted herewith, are. true, and the ' :
k
pp acknowledge any permit issued, based on this
applicants so a ben revoked if it is found that any such statements are
application may be
false.
-!.;::':::;•::.•-....:1-'1..-:-.::.::•-•:':: D. The applicant has read the entire contents of the application, including
the policies and criteria, and understands the requirements for approving
or denying the application.
: T!„,-..,„,• -...;:,;-,!::::: -- ''' ' 1,./\ 6C1 -I
DATED this day of 19
• k
SIGNATURES of each owner (eg. husband and wife) of the subject .property.
..
.,, r 1.
j(�' S
:-,• - ..:1 Yom. ' . r ', ,, -„,,.........„...,,,,,,., 11111111111111 .
( ..
i.
,(,, L
v.
(KSL pffi/0 23P)
t
.....''''-11:,:-::-',.1'...;'1'',..; -
.i..i. Y , .1:,-f.,.-':',..:',,,-,.'•. `. F. 4. .S'r c .''1.^ ::7'... 't I :1-.