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.f APPLICATION FOR PERMIT <br /> TO REMOVE TREES (UGB) <br /> 1 %g ia trr Public Works <br /> Maintenance <br /> q 1820 Roosevelt Boulevard <br /> Date: ( l 1Z. Eugene, Oregon 97402 <br /> .� p J t3 2 (503) 687 -5220 <br /> Owner: Bailey Hill Land Co. Mpi t _ - - C <br /> • <br /> Address: .066. C, 40 Ave .ti— - '' ; E 1/Z See.. 10 ¢ Z(c. iv 1 /„._ <br /> sec. Hi 7.7"; K 4 v., Lv: li y .e6 : <br /> E�er� vR qT4 lot No: ./.4.., 4)1,- <br /> Phone: (H) Lot Size: X <br /> on 686 - 943/ Square Footage: /4) Ac- sees <br /> TREES TO BE REMOVED <br /> Quantity Species Quantity Species <br /> REASON FOR TREE REMOVAL(S): e 2 / , ` vP4 o%. <br /> 4, tCi 7 Z i J 27 /2 v94 e <br /> A removal plan shall be submitted with this application for the removal of 12 <br /> or more trees .. _ <br /> See iirc %d4,�v/ � y► <br /> 1c is i <br /> 9 <br /> Application must be accompanied with a non - refundable $70 filing fee <br /> PUBLIC WORKS MAINTENANCE USE ONLY <br /> Date Received: ,5-71J9/421-- Inspected By: 0, 5/r;2et,, ✓L <br /> 27,^1 fj-xetie -.-1. , owner of the above described property <br /> in Line County, Oregon is hereby (X) PERMITTED TO REMOVE ( ) NOT PERMITTED <br /> TO REMOVE tree(s) from said property in accordance with section <br /> 9.900 -9.940 of the Lane County Code and the conditions within that code. <br /> Quantity Species Quantity Species <br /> 2 d u F <br /> Comments: F�.�,/ rw . „ PJ7 Oe v o f / p 0�-v 1 <br /> 0 J, t o 04-1-, 1 1 rt rc y lr"-" et 6 G ! {/u c li.c c_e r tf-vt °P. , ;14 .1 • <br /> Date Si ned Aut 'zing Signature <br /> 1.%/-- ,tinriF Title <br />