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E~jUGENE <br /> Y~ <br /> APPLICATION FOR STREET TREE REMOVAL PERMIT <br /> Date OZ - O.7 Trees to be Removed from Public Right-of--Way: <br /> Location if differe,~ frgm mailin address)- <br /> ~egal Owner pU13Lac. bi'21!S GNU ?hi Fi+r.n~~i~ ;~i~vcf _ ~l ~~i~c y <br /> Mailing Address 24~ E. 'F,~onDW1~`( Tax Lot Number <br /> Phone: (Home) Plot Plan showing tree(s) to be removed and location of proposed improvements <br /> (Vllork) fndud~l w1tFt application? <br /> es ? No <br /> Lands~ pe Replace t Plans induded with application? <br /> I>rfes ? No ~ be eo~ra~n4-rte tNr~i u. <br /> Arborist's Report induded with application? <br /> 0 Yes 0 No <br /> Application Fee induded with application? <br /> ? Yes ? No <br /> Other City of Eugene permits required? <br /> ? Yes ? No t <br /> Trees to be Removed: <br /> Qupntity Species <br /> ~ X51 ~ 443 ~ 5 <br /> Reason for Tree Removal(s) G,~IFc.rGTS w iTN P>7r~1`?~~~1~ E.A~1~ USE _S (~1~ . F~'~~) ~~t <br /> Description of ny Landscape replacement e ~v l ?t v'G. ~vir ~r~ <br /> 1~V_ ~rrsTrr <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 /> 962-001-0010 through 962-001-0090. You may obtain copies of the rules by calling the canter. <br /> (Note: the telephone number for the Oregon Utility Notiflcadon Center Is (603) 282.1987}. <br /> A Street Tree Is: <br /> A living, standing tree with a trunk diameter of at least 1.6 Inches at a point six Indies above mean ground level at the base of the trunk, end that is boated r <br /> <br /> within the public street ri htot <br /> way or Ia shown on an approved street tree an. <br /> -7 CITY U8E ONLY <br /> Date received ~ ~ % / / Q entity colas <br /> Inspected by Yom' ~ ~ i ~@ <br /> Date Inspected i ~ r,- <br /> a <br /> <br /> Comments: i ~ /l/ <br /> x ~ V <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 Forsatry - Phono 682.4800 <br /> 1820 Roosevelt 81vd. Eugene, OR 97402 <br /> J+~~'~ ~ROPBRTY OWNFR <br /> YELLOW/FiLB <br /> s <br /> <br />