PB 22 10 Altera 769 LLC 769 Northfield Avenue Application for Tree Removal and Replacement Permit

10. 41. 12. 13. Pemit 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: See attached Landscape Plan Describe or attach grading plan if more than six (6) inches of soil will be removed or added within the drip line of a tree or trees on the site: No regrading is proposed within the driplines of existing trees to remain. See attached Landscape Plan with proposed grading shown. 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: Dynamic Enginering, Maria Roller LLA, PP, 245 Main Street, Suite 110 Chester. New Jersey 07930 _(908)-879-9229 _ mroller@dynamicec.com List the number, species, and diameter of each tree to be removed:_See attached Demolition Plan/Tree Removal Plan and Chart State reason for tree removal:_ Building and parking additions Identity the Licensed Tree Expert or Licensed Tree Care Operator who will be providing tree removal services: Name: TBD License Number. Address: City/State/Zip: Work Phone: Cell Phone: Email: Proposed date to commence tree removal:_ TBD Proposed date to complete tree removal:___ TBD Itis 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. LEZ and thaw _b fool Applicant’sSignature Print Name Legibly Date Tree Removal Application 8-31-18