1410 BETTY LN NSEKItar
APPLICATION FOR LAND CLEARING & GRUBBING PERMIT
ry
CITY OF CLEARWATER
c
99�AtEa���� PLANNING DEPARTMENT
(727) 562 -4741 �r
CEP
A non - refundable filing fee of $10.00 is required. Permit applicable for 6 m nQ f &, $
y& ?Vh " PT
In accordance with the Community Development Code, I hereby apply for permit to land clear and /or grub the -
property described below. _
1. Location of Property: ` � /S C%/1 �-�9` 3
2. Project Name: ` /f/1.� =/L <mil- LIL--A5 k-
3. Purpose of clearing and /or grubbing: Chi New Construction ❑ Demolition ❑ Tank Removal ❑ Other
4. General description of existing vegetation, topography, and surface water (including all existing and /or proposed
ditches, canals, and swales) 147- 4-7- �5 -S
5. Proposed method of debris disposal G��i J ���`— l
6. Date you plan to begin work /0 zzcz "
7. Proposed method of soil erosion control��
• lJ�
8. rr No -Tree Verification Required ❑ Tree Removal Permit Required
I AM AWARE AND UNDERSTAND THE REQUIREMENTS OF ARTICLE 3, DIVISION 12 REGARDING TREE PROTECTION
DURING CONSTRUCTION AND ARTICLE 3, DIVISION .7 OF THE COMMUNITY DEVELOPMENT CODE REGARDING
EROSION AND SILTATION CONTROL.
Signo-ttire f wner M/negpWsentative Address
741 1/9
Printed Name City State Zip
Represe tatives' Firm
Telephone Cell
Applicant must include Aerial Photograph or Scaled Site Plan showing property boundaries and limits of work. This is
NOT a Tree Removal Permit.
DO NOT WRITE BELOW THIS LINE
Land Resource Comments: ,� ,-o
Based on the above comments and information submitted, the above clearing & grubbing application is:
❑ Approved As Submitted Approved - Modified As Noted Above ❑ Denied
Signed: Date: 1410 BETTY LN
City Manager r Designee
CLEARWATER BCP2004 -10035
Brian J. Aungst, Mayor CAR WASH
Frank Hibbard, Vice -Mayor Hoyt Hamilton, Councilmember Bill Jonsc CLEARWATER CAR WASH
1362-0002 -GC . White - Planning Department Yellov Zoning:
9� atlas# 2696
99�4TE t��O�
(Print or
Owner:
NO TREE VERIFICATION -
or
NO TREE REMOVAL PERMIT REQUIRED VERIF
� r � ::�; / +; e.
CITY OF CLEARWATER
PLANNING DEPARTMENT
(727) 562 -4741
0EVELOIRMEN! QCP*(
CITY Of
E -mail: Cell Phone:
Owner's Representative: Phone:(" 21�
E -mail Sl�s-I—� x �' 1� �-a�- 1,-m �. Cell Phone;
Address of Applicant;
City: State: Zjp: 75
Address of Proposed construction:
Clearwater, Florida
I hereby certify that the Information contained herein is true and accurate and that I am the legal owner of the
subject property or have legal authority to execute this form on behalf of the property owner. I am aware that any
deviation from the Information submitted with this form shall be considered of violation of the Community
Development Code. In accordance with Section 4 -1205, Community Development Code, I request a release from
the provisions of the tree removal permit section to allow the issuance of a building permit at the above location
because one of the following conditions exists:
O PROTECTED TREES EXIST ON THE SITE as defined in Section 8 -102 (non- prohibited species greater than four inches
at 4.5 feet above grade), but ARE NOT REQUIRED TO BE REMOVED FOR CONSTRUCTION purposes, thus no tree
removal permit is required. I further understand that these TREES MUST BE PROTECTED FROM DAMAGE BOTH
BEFORE AND DURING ALL CONSTRUCTION ACTIVITIES ON THIS SITE as provided in Section 3 -1205 of the City code
of Ordinances (A site plan is submitted with this request.)
l NO PROTECTED TREES EXIST ANYWHERE ON THE SITE of the proposed construction as defined in Section 8 -102
(non - prohibited species greater than four inches at 4.5 feet above grade).
PRINTED NAME:
SIGNED:
Owner or
Signature c f Owner or Representative
Frank Hibbard, Vice Mayor
14304= -GC
Cl.l:411kR W X
Brian J. Aungst, M
Hoyt Hamilton, Councilmember , Bil
White - Planning & Development Services
1410 BETTY L.N
BCP2004-10035
CAR WASH
CLEARWATER CAR WASH
Zoning: C
atlas# 269B
N
3
M bu( /
Quantity
Symbol
Scientif is Name
Common Nave
Code Name
Punting Size
78
0
Ibex cornuta 'Dwarf Burf ord'
Dwarf Burford holly
DB
3- Ga(,15 "x15"
6
Quercus virginiana
Southern live oak
QV
2 1 /2 "- Cal,10'ht
7
Taxodium distichum
Bald cypress
TD
2 1 /2 "- Ca(,10'ht
84
Viburnum odoratissimum
Sweet viburnum
V❑
3- Gal,24 "x24„
MEN,i i i ► ; i •
a o�
_+'�].i1E.a 1:832C1`_'.;',fYS72Ti!T Z =2115t be. PY"C°e'g.i3.'1.Y 'i1st: 111e&j.
per approved laiaaaa laraor to C n ,a ectior,
einsaaectio a c'cs €are, 1aa-111(latory.