601 GRAND CENTRALTREE REMOVAL PERMIT N2 4346
NAME OF OWNER Ch �r • - REASON FOR REMOVAL:
OWNER'S ADDRESSA� ruc onstti
Per mit #
PHONE r ; *See "A" below
SITE ADDRESS rC �,r � J ❑Hazardous
LOCATION OF TREES) ON LOT t.S�,c/ c�7 �/ .Declining
SPECIES AND NUMBER OF TREE(S) � .41C_ XDead
TO APPLICANT: A non - refundable fee of $15,00 for up to five trees to ❑Other (Specify)
be removed, plus $3,00 for every tree above 5 to be
DO
removed is required. Fee Rec'd, $ a
&,n.cco I Receipt #
A) CONSTRUCTION Date
1.. For new construction, additions or other modifications of a property which involve the removal of a protected tree(s),
a site plan is required. This site plan must have a minimum scale*ot 20 for single family lots, or 1 " =50' for all others. The'
site plan must include:
a
a. Major Changes of Grade I; All easerner
b. Structure Locations j AII'00 ctel
c, Driveways and Walks u, k (IjDla�merfe
d. Parking Arrangement
e. Required Number of Parking Spaces (lu )Species
f. Proposed Number of Parking Spaces {IVDlease
g. Proposed Underground.Utilities u; (v) Treesjto'=
h. Zoning Setbacks k &TreeBarrlca
2. Protective barriers are required around alVreesjrern` I Ingfon site du I constr
intact during construction. The barriers must meet City Specrfl(;ations
B). REPLACEMENTS
1. Tree replacement minimum sta da dslzoverall helght4 "caliperFloridaGr1
determine the number of replaceriient trees egQifeW RRep�a mentssrequired w,rt
I hereby certify that as roe owner as epres nfiativ oyf the ro a A'�o er
to be removed is wholly onpproperty ownedirby theme bboweidentifi� prop r�ty '
3 � � —� Wo r
the tree(s) are located wholly or�prartlallyonpropertyow nedby�someo thepe,
Clearwater harmless in��ccaan�c -Idlm made forwr -ffu�m. ffiova bud Mrree(s) hhe e
with any plann� rxljtfiedis a true rep to n o} a�llrf�act oncer�ning the�propose
from the per Itissued shall ren Lill an o arld�be <considered a vi not
�S' A,&ure of owner or
Address
city
s and Rights-of-Way
Trees Including:
of 4.S' above grade (DBH)
Location
I or Insect Infested Trees
>e Removed
e Detail &Locations
Iction.;These barricades must remain
III.
#1 e inspectors note below to
that the tree(s) sought
it be determined that
,ee to hold the City of
is application together
tree(s). Any deviation
y.Development Code.
vner)
DO NOT WRITE�BELO,W�THIS RUNE Notf�ValldRUn�tIl S gnedBy City Ma ag'er �r his Designated Agent
•
ra'✓`,* Y " •a+-+` ,4• sb i�r�5 e
Inspe fors C mme ts: w -�..
;g �>
Required,Replacement Trees:
�:.
Applicable Code Section; -� -12 as �.�.
Based on the Inspector's comments and information submitted, the above removal application is:
YApproved as Submitted ❑ Approved- Modified as Noted Above 0 Denied
Signed: ,LL Date: 2 106rv.
City nager or Designee /Inspector
CLEARWATER
One City One Future.
Brian J. Aungst, Mayor- Commissioner
Ed Hooper, Vice Mayor- Commissioner Bob Clark, Commissioner
Ed Hart, Commissioner J.B. Johnson, Commissioner
1362.0001 -GC White - Applicant, Yellow - Planning & Development Services 8 -99