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POST OFFICE BOX 1577 • BEAVERTON, OREGON 97075 • PHONE (503) 590 -0805 • FAX (503) 590 -1751
RECEIVED,
MAR 1 e 2004 ' .
CITY OF TIGARD
'�; BUILDING DIVISION
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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.:
PLANNING DIVISION:
Required Setbacks:
Side: S A de: _ ❑ Not Approved
Street Side:
Front. ...... Garage: ge: _. ...
Visual Clearance: Rear:, -2____
Maximum Building proved ❑Not Approved
- � b Height. .. feet
CWS Servic
rovider Letter Required:
OP ❑ Yes 16 No
B : • ° ❑ Re eived
ENGINEERING DEPARTMENT: Date: 3 1
k.
Actual Slope:
A to la : erA pproved ❑ Not Approved
B . ErApproved
wt, al 0 Not Approved
Notes: Date: 3 2 3 0