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11075 SW MEADOWBROOK DRIVE c —i Ln �(l C, F7, tid W Iti Lj ri) lid �1.1 8 u �j m w 3 cf; ::u Lu CL rl vo v� U, t-; -�j C) t-J, rj- U) 0 0 tt M C I 1107., SW DURHAM ROAD QiioH GjvwI[o MS SLOTT a c ro a. E o L) .0 r- CD E - 0 \ j 0 ro , w � w EA c •� ro rl ro � Ih rryi C, C? rn At() Li+ o m i �l w „ I 1-J .JJ , (. E+ E r,!1 a. 0 EAEA I Ln r` 0 CITY OF TIGARD 12420 S. W. Main Mroof TIGARD, ORIGON M27 APPLICATION FOR BUILDING PERMIT New Construction ❑ Demolish © Addition ❑ Remodel ❑ Move❑ ZONING--R=2 - DATE ISSUED,_-jL_3p_23 BUILDING PERMIT DATE RECEIVED BUILDING FZE $_x.00 No.73_281 PLAN CHEG' $ .05 state BY _ VALUATION $ 500 OTHER $ RECEIPT No. 9jYV TOTAL $ 5.05 / 30 13 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N MAP 8 CENSUS TRACT —Y JOB N_ Architect or Engineer- Z jjjjW l T11a1atln nava'.. rim,3at--.C.a. - T1 Phone 131AAX Address—Isin Owner ----------- -� Phonc Address_ e _.____ ----- ------ -- Builder same -------- _- ---- Address __ .� - — - ____ Phone BUILDING USE Sinqle Res. RX Multi Res. ❑ Comm. ❑ industrial❑ OCCUPANCY GROUP No. of Stories Total Height_ - Area of Lot _ Type of*Construction I II III IV V F1 r Area B 1 \ Set Backs: on Back L.Side R.Side (�� Private Sewer Pi0*.\Site __ Sewer- ptic Tank �-J Water Service Pipe S�_�_ Storm Sewer ❑ Dit ❑ Drywall❑ Street and Curb Requireme a - Driveway Width--- No. of Parking \^_4 SEPARATE PERMITS SQUIRED FOR SEWER AND PLUMI .Inti SPEC INFORMATION ADD:<ESS ASSIGNED 11075 S.U. Durham i IELD CHECK BY- J8 _`._ _ .---.---..- DATE_jL-1a 7j !i PERMIT APPROVED BY It is understood that all work will conform with applicable odes and ord nances of the State of Oreqon and the City of Tigard, Oregon, and that the building wil. not be occupied until a Certificate of occupancy has been issued by the City of Tigard Building Inspector. 4natuie App 'icant