PB 24 06 PB Application

Permit No: Date Issued: 7. 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 plans 8. 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 traes on the site: See attached plans 9. 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: See attached plans 10. List the number, species, and diameter of each tree to be removed:_See attached plans 11. State reason for tree removal: New development 12. Identity contractor who will be providing tree removal services: Name:_TBD City/State/Zip:, Work Phone: Cell Phone: Email: 13. Proposed dated to commence tree removal: TBD Proposed dated 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 past a copy of the Tree Removal Permit on the site and to present a copy for review upon request. == Sau. ™. Svean if 23/2 Yy “Applicant's Signature Print Name Legibly Dai Tree Removal Application 4-13-15