ZB 22 08 Flores 156 Main Street Application Submission Package

Tree Care Operator registered with the New Jersey Board of Tree Experts. West Orange property owners are themselves. permitted to conduct tree removal on their own property provided they apply for a Tree Removal Permit; however, all tree removals conducted by a private entity for hire must be licensed by the New Jersey Board of Tree Experts, ADDITIONAL QUESTIONS? Please leave a message for the Forester at (973)325-4015 or forester@westoranga.org

PermitNo___ Ny Ht No hrees beirg Date Issued, Township of West Orange femev Application for Tree Removal and Replacement Permit DEAD TREES DO NOT REQUIRE THE ISSUANCE OF A TREET REMOVAL PERMIT ALL questions must be answered for the Applications to be considered COMPLETE. Application Date: This Application for a Tree Removal and Replacement Permit is made with reference to and the intent to comply with all applicable laws, rules, and regulations, including the General Revised Ordinances of the Township of West Orange. 1. Name of Applicant; Street Address: City/State/Zip: Home Phone: Work/Cell Phone: Email: 2. Location of Property Subject to Proposed Tree Removal Activity Street Address: Block: Lot: 3. Property Owner(s) of Record Name of Owner: Street Address: City/State/Zip: Home Phone: Work/Cell Phone: Email: 4. Status of Applicant (Check One) Tenant _ Owner __ Contract Purchaser Other: *if the Applicant is not the owner, attach hereto the notarized consent of the owner.” 5. Has this property been the subject of an application and/or otherwise involved in a matter before the West Orange Planning Board and/or Board of Adjustment? Yes___ No___ lffyes, please state the dates and action taken or pending, identify the Township Agency who or is handling the matter, and enclose a copy of the resolution conserved by the Agency, if applicable: 6. Has the property received a construction permit and/or Is there a construction permit pending? Yes__ No___ If yes, please state the reason for and the date of application or the date of the issuance of the permit: Tree Removal Application 8-31-18

10. 41. 12. 13. Permit No: Date Issued: Describe or attach the landscaping replacement planting plan, if applicable, including the number, size and species of trees to be replaced. Attach additional sheets if necessary: Describe or attach grading plan if more than six (6) inches of soil will be removed or added within the drip fine of a tree or trees on the site: Map, drawing or diagram must be attached hereto. List the names, address, phone number and email of the preparer of the map drawing or diagram attached: List the number, species, and diameter of each tree to be removed: State reason for tree removal: Identity the Licensed Tree Expert or Licensed Tree Care Operator who will be providing tree removal services: Name: License Number. Address: City/State/Zip: Work Phone: Cell Phone: Email: Proposed date to commence tree removal: Proposed date to complete tree removal: [tis understood that the undersigned.may be subject to statutory penalties for each violation of the terms and conditions of the West Orange Tree Preservation, Removal and Replacement Ordinance. The undersigned agrees to post a copy of the Tree Removal Permit on the site and to present a copy for review upon request. Applicant's Signature Print Name Legibly Date ‘Trea Removal Application 8-31-18

Permit Nox Data Issued; For Administrative Purposes Only: Numbers of trees approved for removal: {fiving) ; Number of trees replaced: Additional replacement /preservation requirements: Circle One: Basic Permit Fee: $25.00 Total Development Application Fee: $300.00 Total : Signature of Forester: , Date: (dead/dying) West Orange Ordinance #2177-08 defines a tree as “a self-supporting single stem perennial woody plant having a diameter of at least four inches measured at a point of 4.5 feat (or 54 inches) from the ground at the base of the tree on its uphill side, ' Up to three (3) live trees may be removed on an improved residential lot within any 365-day period without the necessity of obtaining a tree removal permit. ‘Tree Removal Application 8-31-18