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CIT OF TIGARD - SI
BUILDING PERMIT NO.: jf 1 a►j7 , 00 139
PLANNING DIVISION:
Required Setbacks: Cif Approved =j Not Approved
Side __,q___ Street (",L - ..
Front. lam Rear:
Visual Clea +:. -:- .oved [1 !vot Approved
ed
Maxin . h:+i!t i,ig Mt,,_1, fee rov
CWS. ,Sect' •c Pc L sari :le uireti.
q , 7 � - ❑ No
B' : I _ Date:
i J Received
ENGINEERING DEPARTMENT.
Actual Slope:,% Er Approved ❑ Not Approved
Site Plan: ,'Approved ❑ Not Approved
By: 4L Tom. Date: — 7
Notes:
N --/ : D — re,j,A-4.LD