Executed Tree Removal Application 4908 7908 10792

10. 11. 12. 43. Permit No: Date Issued: Describe or attach the landscaping replacement planting plan, if applicable, includingthe number, size and species of trees to be replaced. Attach additional sheets if necessary: See Attached. 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: See attached. 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: List the number, species, and diameter of each tree to be removed: See attached. State reason for tree removal: construction of building and retaining wall Identity contractor who will be providing tree removal services: Name: TBD Address: City/State/Zip: Work Phone: Cell Phone: Email: Proposed dated to commence tree removal:_TBD Proposed dated 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. 525 Northfield Ave., LLC By: Arbol By Gomes LLC, its Manager Print Name Legibly Date 1/3/2025 ( Tree Removal Application 4-13-15