2143 COACHMAN RD NEC-1 T Y O F C L E AIR
W
A
T E R
POST
OFFICE
BOX 4748
CLEARWATER,
FLORIDA
3461E
-4748
June 21, 1993
The City of Cle,,arwater Environmental Management Office has
completed its landscape inspection at your site. The following
report is the result of our inspection, If you have any questions
concerning this report, please. contact Rick Albee at (813)462 -6598.
SITE: Koser Office 2143 N.E. Coachman Rd..
OWNER: Dr. Jerome Koser
OWNER REP.:
INSPECTION DATE: 06/21/93
PASSED
DEFICIENCIES: None at this time, site meets code requirements.
CODES VIOLATED: NONE
COMPLIANCE DATE:
RECOMMENDATIONS: Continue to maintain landscaping to insure future
compliance.
INSPECTOR: Rick Albee
To insure compliance, a reinspection of the site will be
conducted after the compliance date. Failure to correct the
deficiencies above by the compliance date will result in the
issuance of a formal "Notice of Violation ".
to*
` ` E q u a l E m p l o y m e n t a n d A f f i r m a t i v e A c t i o n E m p l o y e r ' '
APPLICATION FOR LAID CLEARING & GRUBBING PERMIT
CITY OF CLEARWATER
PUBLIC WORKS DEPARTMENT
ENVIRONMENTAL MANAGEMENT
(813) 462 -6747
DATE AIIII-1 -5 jJI-
RECEIPT NO. 0(�
A nor% 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 2143 A1. T'. COaC.' °3n Ro3d . Clea n- -atcr, Fl. 3462:i
2. Project Name Dz. H. Jcrcw' Ro =r :,3ctica? Offica Building
3. Purpose of clearing and /or grubbing
4. General description of existing vegetation, topography, and surface water (including all existing and/or proposed
ditches, canals, and swales)
' U
5. Proposed method of debris disposal t t { L y, %a4
li
6. Date you plan to begin work T
7. Proposed method of soil erosion control
8. kNo -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
Signature of Owner or Owners Representatii
Olen ii. i '.f "ullcn, Jr.
Printed Name
P.O. F= 1303
Address
Safe -ty Harbor, Fl. 34695
City State Zip
: :c::uliaa Construc0-I'= Co., Inc 725 -1604
Subscribed and Sworn before mew'' t
this 4th day of / ,:'_ 19 1
Sigriatur'e /of Notary J ; '*�•
NAME OF NOTARY i ���f� �1',.- •� °.1- .
COUNTY! Pincllns:
COMMISSION EXPIRES t:; =� _a•: ' 'eat rr . '
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.
DO NOT WRITE BELOW THIS LINE `
Waier✓Aesdurce Spec. Date,
Com ents C'� �:�/ /I /f'S�1i1vt 0�
�� ,� J _ .; ,- ,_; — _ -�_if �� -�; � ^_ � Gi/ �/./ rA.�.� ��(/� :1L ✓; ►-.:ins
Based on the above comments and information submitted, the above removal application is:
EXApproved As Submitted ❑ Approved — Modified As Noted Above ❑ Denied
Signed: Date: (121 ",7//s-
City Manager or Designee
White — Applicant Yellow — Environmental Pink — Inspector
Rev. 9/87
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