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0 A � / 6 iY OF TIGARD - SITE PLAN REVIEW
C A
U X cY BUILDING PERMIT NO.:,�Cey —tea ��
o � _ PLANNING DIVISION: }'R c4 .5
m
Laj v 0 El Required Setbacks: 'i, Approved ❑ Not Approved ra
cc o 0 O —4 'v5 m' > � Side: 5 Street Side: 15 io 3
Q w 0 H Front. 02b Garage: �-y Rear: 15
�- w c d t`( i a I-- Visual Clearance: R Approved ❑ Not Approved y.
— N K ...s4'. F-. Q LL Maximum Building Height . feet
' dik in E'' Q f' w g CWS Service Provider Letter Required: 0 Yes 0 No
o �, Q - y N m t� � i � : C Harp: hg, - la) - Oil . L. _ H a G ENGINEERING DEPARTMENT:
C U Actual Siope:�% 0 Approved ❑ Not Approved Crl Site PI 0 Approved Cl proved fi
. By: i `�' Date: (2 / 1 ' / 0 f