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Submit by Email Print Form �= <br /> EUGENE <br /> EUGENE Parks an <br /> • Open Space <br /> APPLICATION FOR STREET TREE REMOVAL PERMIT <br /> Date!Aum 28. 2017 Trees to be removed from public right-of-way: <br /> Location (if different from mailing address) <br /> Legal Owner Karen & Rex Prater <br /> Mailing Address 1808 Jefferson Steet Tax Lot Number <br /> Plot Plan showing tree(s)to be removed and location of <br /> Eugene OR, 97402 <br /> proposed improvements (if any) included with application? <br /> ❑Yes ONo <br /> Landscape Replacement Plans included with application? <br /> Phone: (Home)541-914-1733 0 Yes O No <br /> Arborist's Report included with application? <br /> ❑Yes E No <br /> (Work) Application Fee included with application? <br /> 0 Yes ❑No <br /> Other City of Eugene permits required? <br /> ❑ Yes 0 No <br /> Trees to be removed: <br /> Quantit Species <br /> Acer rubrum (Red Maple) Tree ID# 15859 <br /> Reason for tree removals)Tree needs to be removed due to sidewalk replacement. <br /> Description of any landscape replacement Will replace tree ID # 15859 with a suitable species by 4/1/18. <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 <br /> set forth in OAR 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 <br /> of the trunk and located within the public street right-of-way or is shown on an approved street tree plan. <br /> CITY USE ONLY <br /> Date received kiln 7R 2n17 Quantity Species <br /> Inspected by (Chris Girard ];N & <br /> Acer rubrum (Red Maple)Tr <br /> Date Inspected f Ai In 95 9n17 <br /> Comments: Completion of this application will allow for an Enhanced Tree Removal Permit to be approved. <br /> Fee of$160.00 due at the time of Enhanced Permit Approval. <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 />