TREE REMOVAL REQUEST FORM
THIS PERMIT EXPIRES 60 DAYS AFTER APPROVAL

TO:

ENVIRONMENTAL CONTROL COMMITTEE

SUBJECT:

REQUEST FOR APPROVAL TO REMOVE TREES

Owner's Name:

____________________________________________________

Street Address:

____________________________________________________

Mailing Address:

____________________________________________________

 

____________________________________________________

Telephone:

____________________________________________________

 

Lot # _____________

Section # _____________

Reason For Removal

________________________________________

 ___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

 

LOCATION OF TREES:

 		  Number of trees: ____________________

Front __________

Right ________

Rear __________

Left __________

Owner's Signature:

___________________

Date:

_________

*** TREES MUST BE IDENTIFIED/RIBBONED BEFORE INSPECTION ***
Approved: ______________ ______________________________ _____________

 

# of trees

Inspector/Member Signature

Date

Disapproved: ______________ ______________________________ _____________

 

# of trees

Inspector/Member Signature

Date

Reason for Disapproval_________________________________________________

______________________________________________________________________

revised February 2003