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3141 GULF TO BAY BLVD1 TREE REMOVAL APPL (CATION FORM 0 v � j J )l Richard J. t✓_juse /Danis Shook Const. Cc Waived NAME OF OWNER: rde Rec . 6-29-89 Date Rec: East Advanced Pollution Control Rec. By: LOCATION OF WORK: , Clearwater, Fl. Gulf to Bay Rec't # REQUIRED REPLACEMENT TREES -- - - - -- ------------------ - - - - -- --- - - - - -- - = -- — - -- r�.._�. - -- - - - - -- PERMIT TO REMOVE TREE (S) �0 NAME OF OWNER Richard J. Crouse /Danis Shook Const— Co. U` y REASON FOR REMOVAL: OWNER'S ADDRESS as P11 utionateulf to Bay ®Construction Clearwater PHONE _ _ 0 Hazardous �Jl LOCATION OF TREE (S) Gulf to B A, ❑ Dead - Dying 4� see attached u El Other - (Specify) LOCATION OF TREES ON LOT 7 G i SPECIES AND NUMBER OF TREE (S) 61 trees �- Fee Rec: $ waived Rec't # J or relocation of a protected tree(s) (Larger Q )r construction purposes, the Site Plan must If industrial sites. The Site Plan must show: �yL ights of -Way Q cl, ��ing: 't ;• above grade TO APPLICANT: A non- refundable thteg;tddlar quired for each tree re ted PLEASE READ AND SIGN: ' t 1. On New construction, additions, or other* .4 than 4" in diameter at 41/2 h. above grade); 8 have a minimum scale of 1 ":0' for sin99 1. Major Changes of Grade ±� 2. Structure Locations f 3. Driveways and Walks 4. Parking Arrangement (it any) 5. Required Number of Parking :Spa4 6. Proposed Number of Parkin lSpaces 7. Underground Utilities to "be I�stalfed a. All Setbacks per Zoning 2. Protective Barriers are required around all iF tion as a citation will result if they do not re 1623.` 3. The replacement (Planting) of from the approved list on file approved permit is returnecL I hereby certifiy that as prop on property owned by the al on property owned by some tree(s). I hereby certify that t of the tree(s). Any deviation Code of Ordinances. %5u C. S eEie se eortlJn`fested Trees �S esg at r� wed to be Removed 6, ti n n se: M c2 tliLStvmain intact durino construc- direct ve rsxe gecifications per City Ordinance /�upropeg� o 6 , Asvllowed. Trees are to be selected � � LI' ` -� snot"elow4c;.dete; i,ieghe: number of trees required when the ,her, I hate ti .vertfi h-4t t tree s) sought to be removed is wholly ,ar to bet are located wholly or partially a . Bar rnI - e for wrongful removal of such cerning the proposed removal p t id:agt�'�ex>�eret�. G a_ Ordinance 1623, Section 23A, Signature of Applicant if not owl s_ 4 �«' riot2d;TJjne _ Richard J. S Cro Ag acy i res ' '� ... '� -♦ '� ` O.n. e r , w nRe a ioO Const j 3 818 U.S. Alt 19 NO oafe -Rei:eived Address Called /Mailed Palm Harbor, F1. 33S07 PICKED UP City 942 3970 State REQUIRED REPLACEMENTS DO NOT WRITE BEL IS LINE — Not Valid Until Signed By City Manager or his Designated Agent % Inspector's Comments: Recommended Replacement Trees Required Replacement Trees Signed Inspector � G i Date I 4z ,/ ] / J ° 9 Based on the Inspector's comments and information bmitted, the above removal application is: Approve As Submitte Approved — Modified As Noted Above Denied Sicned: � Date: 4 //7/j nape; a Jes one- 1 APPLICATION FOR LAND CLEARING & GRUBBING PERMIT CITY OF CLEARWATER PUBLIC WORKS DEPARTMENT ENVIRONMENTAL MANAGEMENT (813) 462 -6747 DATE RECEIPT NO. A non - refundable filing fee of $10.00 is required per Resolution 86 -9. Permit applicable for 6 months from date of approval. In accordance with Section 98.30, 1 hereby apply for permit to land clear and /or grub the property described below. 1. Location of Property –.L/, /T y A F L,-rr Q / , 4 rz..;,C 2. Project Name Z-,4,!57- /` � .,C D �E D) 3. Purpose of clearing and /or grubbing 7� 4. General description of existing vegetation, topography, and surface water (including all existing and /or proposed ditches, canals, and swales) � i r1,4Hr/c-�,,, 5. Proposed method of debris disposal A /,/1 Ta /,1AJP 6. Date you plan to begin work S_ 9� 7. Proposed method of soil erosion control \S o D � 17741L C N ref 57,- 4 T/ A A J 8. i$ No -Tree Verification Required ❑ Tree Removal Permit Required I AM AWARE AND UNDERSTAND THE REQUIREMENTS OF SECTION 98, CITY CODE OF ORDINANCES REGARDING TREE PROTECTION DURING CONSTRUCTION AND HAVE READ CITY'S EROSION AND SILTATION CONTROL POLICY �"''��"�` ' '"� ►^ Subscribed and Sworn before m" e Signature of Owner or Owners Representative _ /,0r� �ayx? L /,/,n.�.,/ this day of = ,, ,,1,9 Printed Name D c� / S �,IT.Pf T E 457_ /. �Signatufe of Notary, J Address - NAME OF NOTARY City State Zip COUNTY NOTARY PUBLIC STATE OF FLORIDA // /+ MY COMMISSION EXP. NOY.29,1993 G. I.5 T,PA / 4IA,13r- r41Q f'- .�/,3 � %� /� // COMMISSION EXPIRES8QMED THRU GENERAL INS Utz. Representatives' Firm Telephone Applicant must include Aerial Photograph or Scaled Drawing showing property boundaries and limits of work. This is NOT a Tree Removal Permit. Comments f r / �• r Comments r- `,�� - I (-,e _ ✓� DO NOT WRITE BELOW THIS LINE a - r . r, ! fa / J r ' if r , f \ �l Water Resource Spec Urban Forester Based on the above comments and information submitted, the above removal application is: ❑ Approved As Submittdd Approved — Modified As Noted Above Signed: r Date: City Manager or Designee White — Applicant Yellow — Environmental Pink — Inspector Date 7.11..151 f ❑ Denied Rev. 9/87 a �l �.„.. r � :, ' ) 1 � /� � } -"9 ,. �� ti�fj a .(��. �(V `:.;i:t.t l:V ��; 15{ a�A,�eFl�a APPLICATION FOR LAND CLEARING & GRUBBING PERMIT CITY OF CLEARWATER I PUBLIC WORKS DEPARTMENT ENVIRONMENTAL MANAGEMENT DATE (813) 462 -6747 RECEIPT NO. rt✓i�, �? PLANS S E'E 1p�q e- 14, A non - refundable filing fee of $10.00 is required per Resolution 86 -9. Permit applicable for 6 months from date of approval. In accordance with Section 98.30, 1 hereby apply for permit to land clear and /or grub the property described below. 1. Location of Property C;.E~".t okTtr &A5 wk-SIM wA"ir_#Z "t'eEA'rt /ZNT T1 -ANT" 2. Project Name FAST &. 5Y& Ncf~T-) Po c..t.v'r-i ON C- -o WrPC 'FAC, N 3. Purpose of clearing and /or grubbing ___ evcAws+t o of �kf s -+Nt; T�EArr�>rwz- i'ta►w"t' �y 4. General description of existing vegetation, topography, and surface water (including all existing and /or proposed ditbhes, canals, and swales) 'f >►.t 'S1?i frs ©mst' "VV 6,6 -.s Lot, >r,g aN 8A`t SF.4tc c L %%A T'A 5. Proposed method of debris disposal 6. Date you plan to begin work v� -� 14. 1°181 4 7. Proposed method of soil erosion control -'to CoNTRAc,"C 7+c..,c1Er,PrS " 8. ❑ No -Tree Verification Required Tree Removal Permit Required',' TAM AWARE AND UNDERSTAND THE REQUIREMENTS OF SECTION 98, CITY CODE OF ORDINANCES REGARDING TREE PROTECTION DURING CONSTRUCTION AND HAVE READ CITY'S EROSION AND SILTATION CONTROL POLICY C.L ZAR 4--A -M R. Subscribed and Sworn before me Signature of Owner or Owners Representative C rr't 4� C1,EAe wQ R , F this day of _ •�. •_F ` °'- 19 Printed Name N 4o k C e NA; C: C r: Signature of Notary - �- .. ►ar Address 49 �l� vs AL-T 1°t t4O0" N NAME OF NOTARY V. �i `^! f. Pro �.t 1 NPR�3aR �F oe ��A 3 3.Sa'7 City State Zip COUNTY �' J ,' ""11, 1e R C__Qmys6 631�)VWr ` 4Z R?_�o NOTARY PUBLIC COMMISSION EXPIRESrrr --ffH1 slr� fyet ` , - Representatives' Firm Telephone Bp •B�t�R. Applicant must include Aerial Photograph or Scaled yawing showing property boundaries and limits of work. This is NOT a Tree Removal Permit. OT WRITE BELOW THIS LINE Corrmentscc �►–. A .-A �. Comments �' 4YYY�''�' Pate) R74<,� rce Spec. �J Date I- / 4i , zt2 G Based on the above comments and information submitted, the above removal application is: 1D�( Approved As Submitted ❑ Approved — Modified As Noted Above ❑ Denied Jfr i Signed: --/' Dater City Manager or Designe'e'' _V Rev. 9/87 White — Applicant Yellow — Environmental Pink — Inspector 1 4 t� 20 AEROBIC 19 DIGESTERS t8 17 ° Ile s ®` f