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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO• :u 1 '
PLANNING DIVISION:
Required Setbacks: Approved 0 Not Approved
Side: Street Side: __--- Rear: S'
Front. — Garage:
Visual Clearance: Alit Approved ❑ Not Approved 0_ --
Cbt 3p feet No
Maximum Buildin g
CWS Service Provider Letter Required: 0 Receiv d 6 ,
..i Date: -5- b
ENGINEER ' G DEPARTMENT: Not Approved
o proved ❑ Not Approved
Actual Slope: � 4 , pproved ❑
Site Pi / pate:
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