441 CHESTNUT STnh.%1tW1n6✓ I WIVLAY16111 ll%LL%p
PERMIT TO REMOVE TREE(S)
P/ ele k w I k IQhh I1
NAME OF OWNER REASON FOR REMOVAL:
OWNER'S ADDRESS C] Construction
PHONE 74T p Hazardous
t p Declining
SITE ADDRESS 7 /JQ
LOCATION OF TREE(S) ON LOT
o Dead
SPECIES AND NUMBER OF TREE(S) C3 Other (Specify)
TO APPLICANT: A non - refundable fee of $15.00 for up to five trees to Fee Rec'd. $ A.
be removed, plus S3.00 for every tree above 5 to be Receipt
removed is required.
Date
1. For new construction, additions or othee'ryi'odi-ficati6n<s'c',f-dl'ir'6"0'6rt
which Involve the removal of a protected tree(s),
a site plan is required. This site plan must havea minimum scale ','�of, 'z:20 '. for,,-single family lots, or 1'=50' for all others. The
site plan must include:
'ents and Rights -of -Way
a. Major Changes of Grade
All ,easements
11:;Pr, 4ed Trees including:
b . Structure Locations
c, Driveways and Walks
Q Dam
bter of 4.5' above grade (DBH)
Vlww-
d . Parking Arrangement 'd Location
IQ Surveyed
e. Required N u m b e r of Parking S p 666 s iii. )S
pq
cJes
f. Proposed Number of Parking I Diseased or Insect Infested Trees
9.
Proposed Underground Utilitiesj,55-`�""�'. Removed
Zoning Setbacks Tees
h.
or
r, e B.M66aL- IJef6il & Locations
frees remaining (I construction ,
2. Protective barriers are required dr6dh til g on , during .-These barricades must remain
intact during construction. The b arriers ii�usfrp t-, Specifications. , ,
pq City :,
3. Tree -replacement minimum standards' 8
: '
. overall height, 2 caliper, Florida Grade #1 See inspectors note below to
, , , , .11
determine the number of reppcemEin t trees'required -'�,_-,`,�
I hereby certify that as property 'owner or-'as representative " ---of ti�e ty' E?K: I 'hav`4.�erifiecl that the tree(s) sought
.'.1", P* toper Pw0i
to be removed is wholly on property own e above-idehfifiedp'rope� and O�vh6i. should It be determined that
the tree(s) are located wholly of partially'6n .-r F�ersoh* to hold the City of
e �,So owned by soriie ot
Clearwater harmless in any claim made, for,
wrongful l removal of such tree(s)., I herebypartif".y
' that this application to-
gether with any plans submittedJsd,tr0e rep'r e 'iafioh` of all facts
§,;cqnce!.. Ing - the, proposed removal of the tree(s). Any
f Chapter 52, Code of
deviation from the permit issued�.'shall 4, null void d
n be considered a �yiq at,ion o
Ordinances. t.
000b Joe 7
Signature of owner or applie6ht-N-V%� Fri ed Name;>
J*q
Dres6htih§!,(If.N6t Oi;�ner)
Address
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City td, :'g,t' Phone,
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LINE Not Valid Ll
np
;@0N City .,Manager .:,Qr _is D
esignatedAgent
Comments:
Recommended Replacement Trees:
Required Re09ce ent Trees.
Applicable Code Section:
2
Signed:
Date
Inspector
Based on, the Inspector en /and information submitted, the above removal application is:
mi
U Approved scoosm/ub fted ><Approved Modified as Noted Above C) Denied
Signed: Date:
City Manager or Designee
P-04
A
2
Signed:
Date
Inspector
Based on, the Inspector en /and information submitted, the above removal application is:
mi
U Approved scoosm/ub fted ><Approved Modified as Noted Above C) Denied
Signed: Date:
City Manager or Designee
P-04
,
1
69 =12 =1995 04: 05PM
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FROM
TL 4626641 P. 01
FACSIMILE TRANSMISSION
Please deliver the following page(s) to:
FROM:
DATE:
NO.OF PGS. 'S MCLUDING THIS M
FAX NO.:
THE PICK KW1K COMMATION
Please notify us immediately by calling (893) 875 -9928 (ext. 217) if there is any problem with
this transmission.
Thank you.
MESSAGE
THE PICK KW11K CORPORATION
POST OFFICE BOX 30383, TAMPA, FLORIDA 336303383
09 -12 -1995 04 :06PM FROM TO 4626541 P.0-7
DAtzi- 9.8
W 0;
in xRegard to the store an Chestnut Ave. Inowa'� Otty C
Landscaping proposes to compk c the �
professional Blamer. The work to be completed wilt be as l'oltows. OW
A.Tree removal and repkeanent
1.Removal of 7 tress located in area between sidewalk and the
parldM lot on the North and East side...................,
2. Installation of 7, 25 gal ; Crape Myrtle ................0.
Sub Total. .........
E.Plant INWOOD
1. Imtanation of approx. 120 ft. of doable vowed '.ad' t6ftd lies in
order to fom dower beds for installation of shrubbery .
2.1ustallation of approx. 10 yds. of topsoi ............. "
3. Installation 0f'60, 3 gaL Indian Hawthortt..........
4. Installation of appr wL 3 yds, cypress mulch.......
%/fib Total........
TOU4....... •.?
We thank you for co�sldenng our proposal.
Thankyoi
Choo -Choo Landscaping
TOTAL P.03
09-12-1995 04:06PM FROM TO 4626641 P.02
I- N U U L, rg IJ L-- L- M IN 1 -1 4
P1, ck Kwi k Lands ca-Pe PI an
Grape Myrtle
Ind ion I-14wtkorn
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