/-'r c,) /' ear - f , /601' c`�' <br /> APPLICATION FOR PERMIT 3 <br /> TO REMOVE TREES 21e�Ire Avenue <br /> ` EuGEN (503) 687 -5334 <br /> Date: / Trees to be Removed from: <br /> Legal Location: i <br /> Owner: C,' / <br /> Mailing , Lot Number: / �, - ; - ( _ <br /> Address: (" / <br /> Lot Size: x 'x� x <br /> Square Footage: <br /> Phone: H' W <br /> Trees to be Removed: <br /> Quantity Species <br /> Plot plan attached showing tree(s) <br /> to be removed: (- ) YES ( ) NO <br /> Landscape replacement plans <br /> attached: ( ) YES ( ) NO <br /> Description of any landscape replacement: <br /> Reason for tree removal(s): <br /> • <br /> PARKS SERVICES USE ed B ONLY „ „ � <br /> I �� <br /> Inspected ICJ (� i O <br /> Date Received: / a / c f a <br /> ER eV <br /> Date Inspected: 7 � tO / 9 � <br /> owner of above a escribed property <br /> in Eugen , Oregon, is hereby Quantity Species <br /> ( ) PERMITTED TO REMOVE <br /> ( ) NOT PERMITTED TO REMOVE ∎ ORF60/j 1/l( /j Cjjt <br /> tree(s) from said property in <br /> t <br /> • accordance with section 6.300 -330 / l . Ge...,gS //-. _ // <br /> of the Code of the City of Eugene <br /> and the conditions within that code. <br /> Comments:70 <br /> /cte/Ci rAi e oe (...47 Pe.. ( 0 <br /> EkA.1 Ac 5/4) C.3 ( b(A..)e . <br /> Authorizing Signature <br /> 6 yo <br /> Da a Signed Title f <br />