1880 BELCHER RD N61
TREE REMOVAL APPLICATION FORM
NAME OF OWNER: RKM Development
LOCATION OF WORK: S.W. corner of Sunset Pointe Rd. and
Clearwater. FL Belcher Rd.
146 71
Fee Rec. $ , dcq
Date Rec
Rec. By: CO
Reef # 47t)
REQUIRED PLACEMENT TREES
a
PERMIT TO REMOVE TREE(S)
.146
NAME OFOWNER RKM Developliient REASON FOR REMOVAL:.
OWNER'S ADDRESS .200 1 it Ave.: � N.y Suite 214, St. Pete 33701�Conttruction
PHONE o Hazardous
SITEADDRESSS.W. corner of Sunset Polf'ite Rd. aba 'Belch er o Declining
LOCATION OF TREE(S) ON LOT Refer to site plan - . ❑ Dead
84tt AND NL1M;M3EROFTRk(S) Refer to site plan. ❑ Other (Specify)
TO APPLICANT: A non-refundable fee of $15.00 for up.to fiv'61't6es to Fee Rec'd. $
be removed, plus $3.00 for every tree o be Receipt #
x
x
removed is required,: , Date
1. For new construction, additions or other. rnoWicatidhs other. , (ch;Involve the removal of a protected tree(s),
a site plan is required. This site plan must hd&ATYA'� ums e famlly lots, or 1' =50' for all others. The
site plan must include:
a'. Major Changes of Grade ts and 'Rights-of-Way
b. Structure Locations 01 r *8.1 Trees Including:
C, Driveways and Walks
r of 4.5' above grade (DBH)
d. Parking Arrar)gement
(1h) "5u Location
e. Required Number of Parking
f. Proposed P46 m' ber of Parking Sp or Insect Infested Trees
/4"toved
g. -Proposed Underground Utilities 4
(V
YtNbo 136rrlc`i��61 & Locations
c
h. Zoning Setbacks
'�Nfk0v, These barricades mutt remain
Ai
2. Protective barriers are requiArrx'68"6iro S4 %;Iriu 'sltebar n, c uc n-
aw,
intact during constructio'n. The tG .1flo Ions-.
rM MAMP6.'8 fiQ`6hf,�2 li N
Tr 01 -c X; 1C ,'t;
3. Tree re ement minim ee inspectors note below to
;�5d
v, U:_ ig . , r, "
deterrr�iner,tH6 number of rimed ; "
Y1. 9,3,v P„el:wliw 'ZI
%
I hereby certify that as property owner &,'citl Pr �6 t6flV`4.6fj e' 'pW6� r, 1, rifli5d that the tree(s) sought
n
.-'fMfd it be determined that
to be removed is wholly on property owribd"15 fie ,bb W
6'. IW�18MQa, Oil s
t Won f �J.Jbgree to hold City of
the tree(s),-_are located 'wholly or partidlV3'6 R,� At,� I the ty
that this application to-
Clearwater' hdrml6ss in'�6ny I mA o vlgliyfftj
gether with any plans sub-- — ls�'&tr - s 11 removal of the tree(s). Any -
deviation fromAekoormi mi !I, Via Mvoi W Vfyd Z sill Idtion of Chapter 52, Code of
W111111111i
Signature of owner Or a
P.O. Box 264
Address
Largo
City
DO NOT WPI
Inspector's Comments:
A r-r tj
Recommended Peplacemen
j�e uiiredle_placement Trees:
V
4
i d alcolmson
RM,x_.
Designated Agent
-"N
11
"26J
L4nA16-
LINE 05
AppliCabib Code Section:.
TREE 42.00
TL 42.(
D 111 K 5-2.00
"957 CHNG 10.00
Signed: C2 Date
Inspector
Based on the Inspector's comments and information submitted, the above removal application is:
U Approved as Submitted ,,t)' °�pj)oved-Modifi4d as Noted Abo4,., O Denied
e>
Signed: Date:
City Manager or Designee 8-94
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P,O. Box 0692 0
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NOTEo
ALL CONSTRUCTION VvITHIN SUNSET POINT ROAD iGHT -- F-° WAY MUST BE COORDINATED
VATI -i BUD MUSSELMAN OF PINELLAS COUNTYS CONSTRUCTION DhASION AT 454-7711
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Jack L. Grossman
President
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P,O. Box 0692 0
Now Part Richey, FL 34656 (81 3) 647 ®6812
NOTEo
ALL CONSTRUCTION VvITHIN SUNSET POINT ROAD iGHT -- F-° WAY MUST BE COORDINATED
VATI -i BUD MUSSELMAN OF PINELLAS COUNTYS CONSTRUCTION DhASION AT 454-7711
_. - ----- _ .._... _ _.