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lu <br /> E ee��Upp��GE N E <br /> 8 OPIN s�Ufld <br /> ope»Space <br /> APPLICATION FOR STREET TREE REMOVAL PERMIT <br /> Date - Trees to be Removed from Public Right-of-Way: <br /> Location (if different from mailing address)- <br /> Legal Owner j&A L <br /> Mailing Address P.0. o? D Tax Lot Number .) - <br /> � OZ <br /> Phone: {HemB} Plot Plan showing tree(s)to be removed and location of proposed improvements <br /> (Work) 6-D-eo.97- ]Q included with application? <br /> pXes ❑ No <br /> ���, —0c "06 /.w L L Landscape Replacement Plans included with application? <br /> u""r.� u+rh'i --o-fes 'IVo <br /> �� Arborist's Report included with application? <br /> les 00 <br /> Application Fee included with application? <br /> Imes ❑No <br /> Other City of Eugene permits required? <br /> ❑Yes Q'Ko <br /> Trees to be Removed: <br /> Quantity Species <br /> Reason for Tree Removal(s). r <br /> Description ofny Landscape replacement inn, <br /> ivy <br /> Call for Locates: 1.800-332-2344 <br /> ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR <br /> 952-001-0010 through 952-001-0090. You may obtain copies of the rules by calling the center. <br /> (Note:the telephone number for the Oregon Utility Notification Center Is(503)232-1987). <br /> A Street Tree is: <br /> A living,standing tree with a trunk diameter of at least 1.5 inches at a point six inches above mean ground level at the base of the trunk,and that is located <br /> within the public street right-of-way or is shown on an approved street free plan. <br /> CITY USE ONLY <br /> Date received Quantity Species <br /> Inspected by <br /> Date Inspected <br /> Comments: <br /> P <br /> Please note that this is an application form, not a permit. <br /> Tree removal is not allowed until the applicant is In possession of an approved Street Tree Removal Permit, <br /> Questions regarding completion of this application form or the application review process may be directed to: <br /> City of Eugene,Office of Urban Forestry—Phone 682-4800 <br /> 1820 Roosevelt Blvd. Eugene,OR 97402 <br /> WHt"t'E/PROPERTY OWNER <br /> 3anuary 2004 YELLOWIFILE <br />