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CITY OF TIGARD - SITE PLAN REVIEW A�
BUILDING PERMIT NO.: us -O) -��'
PLANNING DIVISION: .R -7
Required Setbacks: Approved ❑ r of Approved RECEIVED
Street Side:
Front. Garage: Rear:
Visual Clearance: Approved ❑ Not Approved JAN 1 4 2004...
Maximum Building Height 21 feet No CITYOFTIGARD
CWS Service Provider Letter Required: 0 Rece . BUILDING DIVISION
B : . � . i / . - . Cew t i Date:. - / ;-0
ENGINE • ING DEPARTMENT:
Actual Slope: 2_- % g Approved ❑ Not Approved
Site Plan: / Approved of A ,proved
B G�J Date: 1 S
Notes: r( p need S r a e_
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