1330 CLEVELAND STAPPLICATION FOR LAND CLEARING & GRUBBING PERMIT
y = oa CITY OF CLEARWATER
9k�TEp�� ENGINEERING DEPARTMENT p Z QQr
ENVIRONMENTAL MANAGEMENT DATE C� I
(813) 562 -4747 RECEIPT NO.
A non - refundable filing fee of S 10.00 is required. Permit applicable for 6 months from date of approval.
In accordance with Section 50.22,1 hereby apply for permit to land clear and /or grub the property described below
1. Location of Property: / 3 i ( C J_4J S'
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2. Project Name:
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3. Purpose of clearing and /or grubbing: p New Construction p Demolition p Tank Removal ❑ Other __0
4. General description of existing vegetation, topography, and surface water (including all existing and/ /or proposed m
ditches, canals, and swales) c c I S7 �''� AJ_2 S C 01 I PJL, `- -'4--
5. Proposed method of debris disposal
6. Date you plan to begin work
7 Prnnnsed method of soil ergs
ontrol
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Tree Verifigtion Required p Tree Removal Permit Required t : \.,
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•I AM AWARE AND UNDERSTAND THE REQUIREMENTS OF SECTION 52.08, CITY CODE OF ORDINANCES REGARDING
TREE PROTECTION DURING CONSTRUCTION AND SECTION 50.43 REGARDING EROSION AND SILTATION CONTROL.
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Si ature o caner or Owners Re pr ent Addr� \ �%
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Printed Name city, State p
Representatives' Firm ! Telephone
Applicant must include Aerial Photograph or Scaled Drawing showing property boundaries and limnV'of work. This is
NOT a Tree Removal Permit.
WRITE BELOW TH
CentS72
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Environmental Inspector Date
Urban Forester Date
Based on the above comments and information submitted, the above clearing & grubbing application is:
Approved As Submitted ❑ Approved - Modified As Noted Above O Denied
Signed: �` \_ ,� -tt t ", _ 01 � - Date:
city Manager t r Designee
White - Applicant Yellow - Environmental 6196
1362 -0002 -GC
..BANDES,
• , CONSTRUCTION
. COMPANY, INC.
1368 Spalding Ad., Ste. C MIKE HOVEY
Dunedin, FL 34698 - 5039+ Senior Project Estimator
Phone: (813) 733 -5558 Pager 529 -0616
Fax No:' (813) 733 -6490 LIC. +' CG- C018550
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PATCH TO MATCP EX15T. SURFACE
1, EX15TING SITE IRRIGATION 6Y6TEM TO BE REPAIRED FOR A
COMFLETE WORKINS SY5TEM, ADC) 0,14 T�) 5Y6TEM TO PROVIDE
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2. EXISTING GRA55 AREAS TO BE MAINTAINED, CUT 4 6F_OG-IMED�
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WJNDINIA
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EXIST. COMPACTED
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NEW 1 14TERIALS 6PALL BE CLEANED OF ALL EXISTINIS PLANT
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ALL EXISTING LANDSCAPING AREAS ARE TO F_E CLEARED CF
ALL L LIEED5, TRIM EXISTING FLANT5, AND PROVIDE 3'
'LITTLE GEM' MAr--NIOLIA
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10' wiell 5'Spread, 20' Spacing
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