Exhibit A3 Tree Removal

TOWNSHIP OF WEST ORANGE Department of Public Works - Shade Tree Division PERMIT #: 25 Lakeside Avenue DATE ISSD: West Orange, NJ 07052 Phone/Fax: (973) 325-4169 FEE: westorange.org TREE REMOVAL and REPLACEMENT PERMIT APPLICATION PROPERTY ADDRESS: _ | 04+ Win sing Mg DATE: November 14, 2015 Property Owner Information: Applicant Information (if not the owner Name: “ Vourd 2 N21 Tae a contractor): Phone:__408- +2-8— 447-30 Phone: Eamail: 0 Castajn ca@hlefepa, com E-mail: Mailing address if other than above: Relationship: NG Raritan Road Clark, N.T- 01066 ALL TREES MUST BE MARKED FOR INSPECTION Location of tree(s): 104 Winding Way (ome) A this tree(s) removal is part of a project or application involving the West Orange Zoning or Planning Board. ** If checked for yes, the Tree Removal Checklist must be completed and replanting plan guide adhered to. ** Number of trees: 19 Species: Nanious, See Porta va Diameter of each: Ries YY 2p’ Reason for removal: _ With building evel ope. of Blopaced divelling wy I would like to meet with the Forester when he comes out. (Our office will contact you to set an appointment.) For office use only: Tree removal contractor info: Number of trees approved for removal: To be determined CONTRACTOR: _Non-viable. Viable___ ADDRESS: Number of trees to be replaced: PHONE: Permit: ___ Approved ___ Denied 0 E-MAIL: Signature of Forester: Date: Kindly complete and return to forester@westorange.org or submit via fax or street address above. This application is made with reference to comply with TOWNSHIP ORDINANCE 28-1-11. ALL REPLANTING REQUIREMENTS MUST BE STRICTLY ADHERED TO. _ Initial: