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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO. I0( 00 IT3
PLANNING DIVISION:
Required Setbks: al Approved ❑ Not Approved
Side: Street Side: I
Front. >Z.) Garage: Rear: (S'
Visual Clearance: g ❑ Not Approved
Maximum Building Height- . .2feet
CWS Service Provider Letter Required: ❑ Yes Qo
B}
pelk - ❑ R ceived
t//�Ca -� Date: jai 3dl0(o
ENGINEERING DEPARTMENT:
Actual Si pe: % Approved ❑ N App roved
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Notes: