5 Tree Removal and Replacement Permit Application Checklist and Notification Forms

NEIGHBOR NOTIFICATION CERTIFICATION (Complete and return with application.) __________________________________________________________________________ PROPERTY ADDRESS: ________________________________________________ List of neighboring property owner addresses within 100 feet to be notified. Address: ______________________________________________________________ Address: _____________________________________________________________ Address: _____________________________________________________________ Address: ______________________________________________________________ Address: _____________________________________________________________ Address: _____________________________________________________________ I hereby certify that owners of the above properties have been notified of the tree work relative to this application. Property Owner Signature Date TOWNSHIP OF WEST ORANGE SHADE TREE DIVISION 25 LAKESIDE AVENUE WEST ORANGE, NEW JERSEY 07052 TEL/FAX: (973) 325-4015 E-M: FORESTER@WESTORANGE.ORG @WESTORANGE.ORG