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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: i -` ' - Db /,, I, C ki.-a
PLANNING DIVISION:
Required Setbacks:proved� ❑ Not Approved
Side: Street Side: 1—
Front. Ga e: Rear: (� '
Visual Clearance: A ❑ Not Approved
Maximum Building Height .. feet
CWS Service Prov d r Letter Require A: . Yes ❑ No 0_
, t C�5 -� - � ❑ Re eived
Bq : `! tl�/LLQa � Date: 675//0 / 0 =
ENGINEERING : EPARTMENT:
Actual Slope: §L: % a Approved ❑ Not Approved 4e� a !
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;y• j ,. �� Date: 2- O - /
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Approves
Clean Water Services
By 4 Date , g 06