Application rev1

Permit No: ~. Date issued: For Administrative Purposes Only: Numbers of trees approved for removal: (living), (dead/dying) Number of trees replaced: Additional replacement /preservation requirements: Circle One: Basic Permit Fe: $25.00Total Development Application Fee: $500.00 Total Signature of Forester: : Date: 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 feet (or 54 in9hes) from the ground at the base of the tree on its uphill side. Up to three (3) live trees may be removedon an improved residentiallot within any 365-day period without the necessity of obtaining a tree removal permit. Tree Removal Application 4-13-15