Executed Application

10. 11. 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: Please see attached Landscape Plan and Tree Removal 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: Please see attached Grading Plan. 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 Engineering, PC, 1904 Main Street, Lake Como, NJ 07719 732-974-0198 mbersch@dynamicec.com List the number, species, and diameter of each tree to be removed: Please see attached Landscape Plan. State reason for tree removal:_ Redevelopment Identity the Licensed Tree Expert or Licensed Tree Care Operator who will be providing tree removal services: Name:_TBD License Number_TBD Address;_T8D City/State/Zip:_TBD Work Phone:_TBD Cell Phone:_TBD Email_T8O Proposed date to commence tree removal:_TBD Proposed date to complete tree removal: TBD It is 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. A— CZ PYRIKY Lifis[2622_ Applicant's Signature Print Name Legibly Date Tree Removal Application 8-31-18