Report (20) STREET TREE
.=T 1 GAaR�D
CER TIFI CA TION
I, i4'`4 - s , owner/agent for C4...,,,`. gndie___/ ,--,e /`--)
(PLEASE PRINT) (PERMIT HOLDER)
do hereby cert that the following location meets
City of Tigard land use and development standards
for street tree installation and is consistent
with the approved site plan.
PERMIT NO.: � "`571.2-« (s— cD�9
SITE ADDRESS: /26'
S UBDI VISION. LOT #: /3/
SIGNATURE: � � ��--_---- DATE: l f it
(0I ATER/AGENT)
RECEIVED
VERIFIED BY: DATE:
(CITY OF TIGARD)
Tree location verified per approved site plan.
1:ARuilding\Forms\Srrcctl'recCcrrificarc )5/30/2012