1016 BELCHER RD N1
CITY OF CLEARWATER - FORESTRY DIVISION 2 j ql8
TREE REMOVAL APPLICATION FORM 4 i
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NAME OF OWNER: T E Z� y�-t W4 D IZA V L► CS Fee Rec. S . a&k.
Date Rec:
LOCATION OF WORK: 101(c t� ' L EA_0_I l t iL_ Z y Al Rec. By-
Clearwater, FL 331 r.3 Rec't #
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REQUIRED REPLACEMENT TREES is
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NAME OF OWNER 62CULC
OWNER'S ADDRESS 1-(a5 O c. r
PHONE l 4,k3) 'I'll - O G L
SITE ADDRESS I O I U t14 - PEE
LOCATION OF TREE(S) ON LOT _S
SPECIES AND NUMBER OF TREE(S)
TREE REMOVAL PERMIT
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33-1,b 3
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TO APPLICANT: A non - refundable fee of $15.00 for up to five trees to
be removed, plus $3.00 for every tree above 5 to be
removed is required.
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REASON FOR REMOVAL:
.Construction
O Hazardous
J ;] Dec4ining-
0 Dead
Q Other (Specify)
Fee Recd. S
Receipt #
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 of 1' =20' for single family lots, or 1'=50' for all others. The
site plan must Include: >%
a. Major Changes of Grade ;, �:q,_L' 1: +,A11 easet ants and Rights -of -Way
b. Structure Locations ''Protected Trees Including:
C, Driveways and Walks ) Qi6meter of 4.5' above grade (DBH)
d. Parking Arrangement ' ,r ` ' "'"
�J 9 �'.. <� ' ,,� ,�' �� � .�Frn i s%veyelocaflon
e. Required Number of Parking Spd6es;,• �(1ii Species.;
f. Proposed Number of Parking aces; %' $ is
po ng Sp � . ar �;�� (iv'� i)Veasetl or Insect Infested Tress
g. Proposed Underground Utilities ; `r �4�sv Trees to.k� Removed
h. Zoning Setbacks' k7i+c3tric' "ads Detail & Locations
2. Protective barriers are required arou(�d l ees`remaining on site iirlrig constftfctlon. These barricades must remain
Intact during construction. The borders ' g
t °meet ` SpeclHcaflons
3. Tree replacement minimum sta
determine the number of repk3cerr
I hereby certify that as property of
to be removed Is wholly on props
the tree(s) are located wholly o
Clearwater harmless in any cla X
gather with any plans submitted Is Al
deviation from the permit Issued st
,. Ordinances.
S gnature of owner or apE
3sol Sic,AiL_
Address
KM eA
city
DO NOT WRITE
Recommended
Required Replacement Trees:
Applicable Code Section:
21
Inspectors note below to
that the trees) sought
It be determined that
ee to hold the City of
gat this application to-
Dval of the tree(s). Any
Gfiiapter 52, Code of
ye VV Z
,- J1Nh,, SI
fl :Agei e} fi2op Ves4h41n, " (If Not Owner)
Agent
Signed:. 5; tor
tor
Based on the.inspector's comments and, infor on submitted, the above removal application is:
0 Appr as Submitted Approved- Modified as Noted Above ❑ Denied
Signed: Date: 2
ty Manager o gne
1362.0001 -GC 10-97
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LANDSCAPE
LIGUSTRUM SHRUB . LIGUSTRUM VAPONCUM
1 -1/2" CALIBER MINIMUM S' IN HEIGHT AT PLANTING MINIMUM 4' SPREAD
1-1/2- CALIBER MINIMUM S' IN HEIGHT AT PLANTING MINIMUM 4' SPREAD
1
A A X 1 l CONTINUOUS LIGUSRTUM HEDGE CONTINUOUS LIGUSRTUM HEDGE MIN. 18" IN HEIGHT AT PLANTING. HEDGE ALONG RIGHTS
MIAL INIM108 LANDSQAPE AREA
TOTAL
:. SQ. FT
FACTOR
6.0%
REQUIRED - O D •- AREA
3,162
Y
REQUIRED INTER11OR LANDSCAPE AREA
3,162
::
REQUIRED y INTERIOR SHRUB COUNT
r1O: IEEE REQUISEMENT
REQUIRED •* LANDSCAPE
CALCULATION SHRUB TREE
0•
REQUIRED - O TREE COUNT
INTERIOR LANDSCAP AREA
TREES TO BE REMOVED
GRAPHIC SCAM
30 0 15 30 60
( IN FEET
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I I vvu �) I UN T I •I 1 1111 J1 I I I
OFFICE AREA j � ! I III I
21,600 SQ. FT. LANDSCAPE
1m All nlcnts shall hp Flarldn Nn. 1 nr hpttpr_ All nlnnts shall hp ttmlrnl of thpir
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