Tree Removal Permit Application Only 4905 4954 71308

TOWNSHIP OF WEST ORANGE Department of Public Works - Shade Tree Division 25 Lakeside Avenue West Orange, NJ 07052 Phone/Fax: (973) 325-4169 TREE REMOVAL and REPLACEMENT PERMIT APPLICATION PROPERTY ADDRESS: DATE: Property Owner Information: Name: Applicant Information (if not the owner or tree contractor): Name: Phone: Phone: E-mail: E-mail: Mailing address if other than above: Relationship: ALL TREES MUST BE MARKED FOR INSPECTION Location of tree(s): ____ 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: Species: Diameter of each: Reason for removal: ______________________________________________________________________ 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: Number of trees approved for removal: _Non-viable____ Viable Number of trees to be replaced: _________ Permit: Approved Denied Signature of Forester: Date: Kindly complete and return to forester@westorange.org or submit via fax or street address above. Tree removal contractor info: CONTRACTOR: ______________________________ ADDRESS: __________________________________ PHONE: ___________________________________ E-MAIL: _________________________________ PERMIT #: _________ DATE ISSD: ________ FEE: _____________ This application is made with reference to comply with TOWNSHIP ORDINANCE 28-1-11. ALL REPLANTING REQUIREMENTS MUST BE STRICTLY ADHERED TO. Initial: _____