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Home Owner(s): Jeff& Anita Whittaker Tax Lot: R0277694 & R0277569
Property Location: XXXXX 70th Ave. —Tigard, OR 97223
The information on this Plan has been provided and reviewed by the property owner who by signing below:
I)Acknowledges and Accepts full responsibility for its accuracy and completeness:
2) Is responsible to ensure that the improvements to the site take place in conformance with this plan:
3) Will establish all the corner irons,lot lines and code required setbacks required of this property,any change(s)to this plan must be
pre-approved by the gove I agencies with jurisdiction,the mortgage lender,the contractor and documented.
Owner: Date:
Owner: Date:
CITY OF tMD
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Ap4*vrove by Planning
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