Plans Name e)rif Cii A Fr. rck5, e- ! i •- - -- .
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Property Address // L /() ,c t..) t-5 07- 1 1. - . -'o e ” : q1 2 3- .
Legal Description T5 I s k_ Scc 3S Tc' /br i/yu2,�ya3 ":-,,,
DECEIVED DoT a n w .Sh'B, �
TH E INFORMATION ON.THIS PLOT. PLAN HAS BEE PROVfbED'AND
. ' . ' REVIEWED BY THE PROPERTY OWNER WHO: BY SIGNING BELOW l.)
N MAY 20 2003 ACKNOWLEDGES AND ACCEPTS FULL RESPONSIBILITY FOR ITS ACCURACY
AND COMPLETENESS:2.) IS RESPONSIBLE TO ENSURE THAI THE '
I IMPROVEMENTS TO THE SITE TAKE PLACE IN CONFORMANCE WITH THIS
CITY OF TIGARD , PLAN 3.) WILL ESTABLISH ALL THE CORNER IRONS, LOT LINES AND CODE -
•
REQUIRED SETBACKS REQUIRED OF THIS PROPERTY. ANY CHANGE(S) TO THIS
BUILDING DIVISION PUN MUST RE PRE•APPROVED OY THE GOVERNMENTAL AGENCIES WITH
JURISDICTION, THE MORTGAGE LENDER AND THE CONTRACTOR AND
DOCUMEN ED.
I \I . ' I' O W ER ! ` - t fl ! „ , J DAT I:;r +J� r.
l ', -.,, .i ,. i F ` - y, , ! s .,. 7 . I
_ OWNER: w ,,. I DATE '
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3 „ L0,90.00 N ___ __ -
CITY OF TIGARD - SITE PLAN REVIEW -
BUILDING PERMIT NO.: WO" 4.E.0 •O' • ANN
PLANNING DIVISION• IS - 1 �� �
Approved 'Not Approved q
Required Setbacks: ❑ pp
ro Street Side: { csek Gu'�
5 Garage: d Rehr.
Pal Carr l _�.— Ap rod ❑ Not Approved
Maximum Building � ve Sad
Maximum 13ai {ding Height' � feet
\1S Service Provider Letter Required: 0 Yes 214o o Received C/ $ / o2�E /
eem.4✓4¢� Date:
ENGIN RING DEPARTMENT: roved
Actual Slope:_% Approved G of - pp n /e���
Approved .t Approved 4 ar. zd pa"" `I
B - z -o3 t:Ilau: Date:
B , 46-etc( 5`281.9
Notes: I
?e.r Si-Lb d'tvis or ao.'A d -irons
Of p"PP•v`t`.cI (SuB .90 1 - 00005),
Wen - S o•n I s I o f be:
cctfached, (Se G�+ coM /re
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