531 FT HARRISON AVE SPERMIT TO REMOVE `TREE (S)
NAME OF OWNER
OWNER'S ADDR'SS
PHONE
LOCATION Or TREE (S) IN J
LOCATION OF TREES ON LOT
SPECIES AND NUM8ER,OF TREE (S),,
46E
TO APPLICANT: Anon- refundable three.. dol,lar, 0,)
quired for each tree
PLEASE READ AND SIGN:
1. On New construction, additions, or oiner;m, Iduationu,b] at r pert
X
than 4" in diameter at 41/2 ft. above gradebp Siw n i
d�W 18
have a minimum scale of 1 ":0' for sin la, a6fiii to rnuflti4fnrT
1. Major Changes of Grade
2. Structure Locations
3. Driveways and Walks
4. Parking Arrangement (if any
5. Required Number of Parking 5 ces
6. Proposed Number of Parkind�Sp
7. Underground Utilities to be install-d..
.8. All Setbacks per Zoning
2. Protective Barriers are required around 9II','re*fjb4uindining,on slte =dunng ton
q
lion as a citation will result f they do not reft-
i st n
functional eW6�
3. The replacement (Planting) �f;tre ini UOT may be requiretl on yol
from the approved list on file in nuirnnmantaleulli ,".,-c , tors i
approved permit is returrib ,.TQA u
"XI
I hereby certifiy that as property owner ,or:a6-i,vp,,e' entatiY@or-Ine property
on property owned by the abovejdehfified' 000�60U,&
A
,:n uld
Xd.�ho E!' Mi
on property owned by somejothe'r,' person ,,thenr*lagreelf6 hold tKelcityw
icat Q.
tree(s). I hereby certify that this applioniogetnery' any, ans s A
of the tree(s). Any deviatfonTrom the ,,per.rffit,issuecl,s 11 i'er it null and v i
Code of Ordinances.
re of Applicant"if—not owner V,
Agency Representing & Phone
Address
42
City
DO NOT WRITE-:LOW,)THIS LIKE.-
Inspector's, Comments:
Recommended Replacement Trees
Required Replacei
Signed
0 748
REASON FOR REMOVAL:
X—Construction
El Hazardous
❑ bead - Dying
❑ Other - (Specify)
Fee Rec: $ lS
Ren # — -? t,
,al or relocation of a protected tree(s) (Larger
for construction purposes, the Site Plan must
. industrial sites. The Site Plan must show:
grade
I Trees
be Removed
e
ill--ft, intact remain during construc-
tA if", pbcificatibns per City Ordinance.
incy is allowed. Trees are to be selected
the number of trees required when the
5),sought to be removed is wholly'
►s) are located wholly or partially
Ade for wrongful removal of such
concerning the proposed removal
of Ordinance 1623, Section 23A,
I
or his
Agent
lee,
rq Based on the Inspector's comments and information submitted,. the above removal application is:
'9�2Approvecl As Submitted El Approved — Modified As Noted Above
❑ Denied
Signed: Date: 17
City Manager or,6esi g nee
J
nu'r" ':bf Owner
k
ln�,,
-
Date Received
Called/Mailed
PICKED -UP
State
REQUIRED REPLACEMENTS
or his
Agent
lee,
rq Based on the Inspector's comments and information submitted,. the above removal application is:
'9�2Approvecl As Submitted El Approved — Modified As Noted Above
❑ Denied
Signed: Date: 17
City Manager or,6esi g nee
J
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co Le�
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