TRE2017-00021 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
TIGARD
04/13/2017
TUCKER, DEWEY N JR
TUCKER, CHRISTINE J
8570 SW MERLYNE CT
TIGARD, OR 97224
Re: Tree Removal Permit Record Number: TRE2017-00021
Dear TUCKER, DEWEY N JR:
On 04/13/2017 you submitted an application for tree removal at 8570 SW MERLYNE
CT. Your application specified that:
1 Sequoia
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 - TRE2017-00021.
Best regards,
Community Planning Division
City of Tigard
RECEIVED
APR 132017
71q City of Tigard
►�-+ q 1. CITY Or TIGARD
e Tree Removal Permit Application PLANNING/ENGINEERING
TIGARD
GENERAL INFORMATION FOR STAFF USE ONLY
Property Address/Location: tS ? SW 'l'i.-0'L'./ (---c
Case No.: I
-T-T-6 NM) ,ut, ct p-2Z`-i
Related Case No.(s)
Zoning: ;� Tax Lot ID:
Applicant: Imi 4..-`f14-45-1Z_ L
Application Accepted:
Address: '-i SCD6 IA P t--k\-,t le Lam:c'`l L.L REVIEW PROCESS
City,State: AA iZoclCr TX Zip: �lc(1`.--.3Simple 0 Complex
Phone: ''. ....3.- -� 3Z.v 161 I Email: (DX F}R +kT(1 bill A3-1.. Fee(Complex only): 144
Contractor/Arborist: NO O 10 -- GP�Z1\i- I5 Receipt No.:
ISA/CCB# -C‘i9 1 laf / Expiration: V/' G( I t, REQUIRED SUBMITTAL ELEMENTS
Address: 2 -C I'S" A ikiiscy P-c) Completed Application Form
City,State: --�,L1.S 41) 0,0,_ Zip:€ Owner's Signature/Written Authorization
�[
q ` Site/Plot Plan
Phone: SU;' 5�3 9'11 I Email: f3A Nv�xr4-9 sc-D:Lc,41 I r
Ttf Documentation
Please read all information and complete front and reserve sides of the form. 10g Fee(Complex only)
TYPE(S)AND NUMBER OF TREES PROPOSED FOR REMOVAL 1:\ UMIN\Masters\Land Use Applications\Tree Removal
peCutdocx I updated 6/24/13
Urban Forestry Fund
- Street Tree _ Heritage Tree _ Tree
Sensitive Lands Development-required
- Median Tree _ Tree _ Tree
REASON(S)FOR REMOVAL REMOVAL CRITERIA
Simple Review Process If you are applying for a simple review, your
o Tree is a hazard ❑ Location conflicts hi Location does not meet application must address one or more of the
with TSP project planting standards relevant removal criteria for the type of tree
Tree is dead O Tree has sustained Roots are causing you propose to remove. The removal criteria
physical damage damage can be found in the Urban Forestry Manual
Tree is in an
advancedEl state of p
S ecies is on nuisance Recommended byfire as follows:
tree list marshal
•decline • Street Tree:Section 3
Tree is infested Removal required for • Median Tree: Section 5
❑ withests or 0 approved land use or ❑ Thinning necessary to •
P PP protect other trees Sensitive Lands Tree: Section 6
disease building permit • Development-required Tree:Section 7
Complex Review Process
p Blocking views p p Other(please explain in • Urban Forestry Fund Tree: Section 8
or solar access Undesirable species detail on reverse) • Heritage Tree:Section 9
CONTINUED ON REVERSE
City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2421 I www.tigard-or.gov I Page I of 2
PROPOSAL SUMMARY
Please describe the exact number and location of trees and reason(s)for removal.For simple situations,your proposal must address one or
more of the relevant removal criteria in the Urban Forestry Manual.Documentation of the conditions described must he included.You arc
encouraged to attach additional sheets(arborist report,photographs,site plan,tree risk assessment form,etc.)as necessary.
ikt. xr.:.ri� � �L{t. 4: t;NZ. 5 ldv 16 71+ ft": (1
{ rs
Ditivk ea.. 7Y4(. `=6J40 t-;lot.) . -is-r.041 tit 7-fie`- ;x E, L t,
APPLICANTS:
i To consider an application complete,you will need to submit ALL of the REOUIRED SUBMITTAL ELEMENT$as described on
the front of this application in the"Required Submittal Elements"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:
• 1, ..w r. . ..•. r. vii1. . -. . . ,'n.t. r: ,+: tr .-4 . ., ,,.:. . ,. . .uh'cct . . e
• if the application is granted,the applicant will exercise the rights granite)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 site/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.
SIGNATURES of applicant and each owner of the subject property.
D.l'1'L-•D this day of ,20
Applicant's Signature Applicant's Printed Name
Owner's Signature Owner's Printed Name
Owner's Signature Owner's Printed Name
gli4Art Pa4.
Authorized Agent's Signature Authorized Agent's Printed Name&Title
City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2421 I www.tigard-or.gov I Page 2 oft
PROPOSAL SUMMARY
Please describe the exact number and location of trees and reason(s)for removal.For simple situations,your proposal must address one or
more of the relevant removal criteria in the Urban Forestry Manual.Documentation of the conditions described must be included.You are
encouraged to attach additional sheets(arborist report,photographs,site plan,tree risk assessment form,etc.)as necessary.
71 5' ° c ?Pao-p:(1) P- +loiftt_ SS `Tc to lij 11116
1Q7 la m t it- `�,�rO A; ,J , `ilii- k OY T-1-. 5 g ra, 0-05 (a Li
-TD ` -1 N� ry S 0:-) c+r, DWI- 1
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"Required Submittal Elements"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 site/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.
SIGNATURES of applicant and each owner of the subject property.
DATED this day of ,20
Applicant's Signature Applicant's Printed Name
Owner's Signature Owner's Printed Name
Owner's Signature Owner's Printed Name
Authorized Agent's Signature Authorized Agent's Printed Name&Title
City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2421 I www.tigard-or.gov I Page 2 of 2
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