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TRE2017-00022 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 l 'GARI) 04/18/2017 Tamara Walter 13577 SW74th ave Tigard, OR 97224 Re: Tree Removal Permit Record Number: TRE2017-00022 Dear Tamara Walter: On 04/18/2017 you submitted an application for tree removal at 13577 SW 74TH AVE. Your application specified that: Fastigiate White Pine is/are proposed for removal. Based on the information supplied on your application, this is a simple tree removal permit request. City staff has reviewed your application and based on the relevant approval criteria in the Urban Forestry Manual, your application has been: Approved, no replacement required Approved This decision is final and valid for a period of up to one year after issuance unless otherwise specified. Nothing prevents you from submitting another tree permit application if the conditions and circumstances surrounding this removal have changed. If you have any questions, please contact us at arborist@tigard-or.gov or 503-718-2421. Please be sure to reference record number- TRE2017-00022. Best regards, Community Planning Division City of Tigard RECEIVED II �� City of Tigard APR 18 2017 . COMMUNITY DEVELOPMENT DEPARTMENT Tree Removal Permit Application GIN OF TIGARD TIGARD HiANNING/ENGINEERING PROPERTY INFORMATION G j REMOVAL CRITERIA Address/location: II)S 7 7 ;7 tA` 7 Lf 4 L1 Ad tin Q-e..-- If you are applying for a simple review, your application must address one or APPLICANT INFORMATION`` more of the relevant removal criteria for Name:�(L�nelA. L `-�cta_ . U �'1-- the type of tree you propose to remove. The removal criteria can be found in the Address: 1 3 17 51A/ 7 74--kk AN tie, Urban Forestry Manual as follows: _ City/state: I l 3i 6–G` / (�. Zip: q 72.23 •Street Tree:Section 3 d •Median Tree:Section 5 Phone: 03• (003, L15 31 Email: f-cc i't l @ il 124._ ibe. pt, •Sensitive Lands Tree:Section 6 Owner: gSame as applicant •Development-required Tree:Section 7 •Urban Forestry Fund Tree:Section 8 CONTRACTOR/ARBORIST INFORMATION •Heritage Tree:Section 9 Name: CV mat P ext_ rem errs(,Lcis •Documentation(e.g.arborist report, photographs,site plan,tree risk ISA/CCB#: / IV 5 7' Expiration date: 1/l(' f a.CI ? assessment form,etc.)of the Address: f''J 5 P(L1s�(t G ��?ci conditions described must be included. II RR � Tree replacement is required,unless City/state: 11l tl.,r/�. ) 0!- Zip: c/7L.t2-1/ otherwise stated in the approval. Phone: 57(2 •welt 300 Email: / Contact person: (( 5(� 0 r 1,—t31--C r Li FOR STAFF USE ONUS' REQUIRED SUBMITTAL ELEMENTS TREE REOVAL INFORMATION—to be completed by applicant Owners Signature/Written Authorization Tree species: 191(4e- Num.of trees: 1 /6 Site/PlotPlan(show location&species rr of each tree,2 copies) i,eYti Dr,location: 0 VI £i r, Gjid2. 0 t `o lox, 4 Documentation(see removal criteria) Reason(s) for Removal 0 filing Fee(complex only) a SIMPLE REVIEW PROCESS s :;:w PROCESS ❑ Complex O Tree is a hazard ❑ Removal required for approved 111 Tree is in an advanced state land use or building permit Fee(complex only): of decline ❑ Tree is dead Case No.:TAE 20 11 -0e00 ZZ ❑ Location conflicts with AC Roots are causing damage Related Case No.(s): TSP project ❑ Thinning necessary toprotect Tax Lot ID: ZS t 0! D G O S SO O ❑ Species is on nuisance tree list other trees Application accepted: ❑ Tree is infested with pests ❑ Location does not meetq /) g / II or disease planting standards By: IV' Date: ! ❑ Tree has sustained physical ❑ Recommended by fire marshal Application determined complete: damage By: X10 Date: 4 J le 1 ii 1:\CURPI.N\M2sters\Land Use Applications Rev.12/11/2014 Continued on reverse-for complex review see page 2 City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2 COMPLEX REVIEW PROCESS (check applicable with brief proposal summary) ❑ Blocking views or solar access ❑ Undesirable species Cl Other(explain below) APPLICANTS To consider an application complete,you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the front of this application in the"Removal Criteria"box.When the owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner or an agent of the owner.The owner(s) must sign this application or submit a written authorization with this application. THE APPLICANT(S) SHALL CERTIFY THAT: • The above request does not violate any deed restrictions that may be attached to or imposed upon the subject property. • If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. • All of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,are true;and the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such statements are false. • The applicant has read the entire contents of the application,including the policies and criteria,and understands the requirements for approving or denying the application. SI' NATURES of each owner of the subject property required. /r'• d aZ711‘) C B/'t {_A ) ker '71«/ /7 • pplicant's signature Print name Date oner's signature Print name Date frv-akA) ,mgr . G J e r y) / � 1,47 Owner's signature Print name Date • Authorized agent's signature Print name Date TREE REMOVAL PERMIT APPLICATION City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2 SPi ;^r. " ... . x[ylY Oi4 . 1yd. " s i r� r W � tA � 1 -;•:::11,-. ....-"*-y 7`� AsW,vd .1+ s; v �.- ..S, ' , - . . x?�?, y < , ; .. ..A ' ❑ Blocking views or solar access ❑ Undesirable species El Other(explain below) APPLICANTS To consider art application complete,you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the front of this application in the"Removal Criteria"box.When the owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner or an agent of the owner.The owner(s)must sign this application or submit a written authorization with this application. THE APPLICANT(S) SHALL CERTIFY THAT: • The above request does not violate any deed restrictions that may be attached to or imposed upon the subject property. • If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. • All of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,are true;and the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such statements are false. • The applicant has read the entire contents of the application,including the policies and criteria,and understands the requirements for approving or denying the application. SI' NATURES ofowner of the subject property required. t 0 g_iiri ,b) f�r.git,riL.A lar' -er 4/ky /7 'pplicant s signature Print name Date ii.,•:_t_ ik (..,-2,A i f-e-r 4:,,:lac.? 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