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APPLICATION FOR PERMIT PARKS SERVICES DIVISION - <br /> TO REMOVE TREES 210 Cheshire Avenue <br /> EUGENE (503) 687 -5334 <br /> 7 / y Trees to be Removed from: <br /> �. <br /> Date: /10 r <br /> Legal _x Location: YY f7) j`� , �i 1„.. , _ <br /> Owner: I , r i 2 ,, ,, r <br /> Mailing Tax Lot Number: /( Q 3 / 3., DO 3 , <br /> Address: 1- /t--'a '` -1.,-- _ <br /> Lot Size:75 /x /DFx /0 /x 4, <br /> Phone: H 3 `,/3 • ,10? w ___ ---- -- <br /> _ Square Footage: �' / <br /> Trees to be Removed: <br /> Quantity Species <br /> Plot plan attach�d ss wing tree (s) 1 ' <br /> to be removed:. h YES ( ) NO /3 ' y ,,,,------ ,A.� <br /> Landscape replacement plans <br /> attached:'] YES ( ) NO <br /> Description of any landscape replacement: <br /> --- / <br /> --. -- « • <br /> Reason for tree removal(s): ;�,�'i ! _ j'' ;2 ` / ��„> - ‹z- <br /> . <br /> PARKS SERVICES USE ONLY ,�'' <br /> Inspected By: "Qy -(,,,P__- -c--- <br /> Date Received: 7 / / / ;j <br /> Elate Inspected: J / <br /> owner of above described property <br /> in Eug ne gon, is hereby Quantity Species <br /> PERMITTED TO REMOVE <br /> ( ) NOT PERMITTED TO REMOVE / :�,-, 1/e- <br /> tree(s) from said property in (---_,,, / <br /> accordance with section 6.300 -330 !• .� _/'�l= ,� -_- <br /> of the Code of the City of Eugene - <br /> and the conditions within that code. 10 „4,2;721:--C______. <br /> 1 / <br /> Comments: _- L.L ' - 4 ' v� ---- <br /> x� - � <br /> uthoriz ng Signatu e <br /> Date' Sigf••d ' Title <br />