TRE2017-00027 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
71
IIGArm
04/24/2017
KEPHART, DAVID & KIMBERLY DANIEL
11495 SW VENUS CT
TIGARD, OR 97223
Re: Tree Removal Permit Record Number: TRE2017-00027
Dear KEPHART, DAVID & KIMBERLY DANIEL:
On 04/24/2017 you submitted an application for tree removal at 11495 SW VENUS
CT. Your application specified that:
3 Western Red Cedar
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:
Sensitive Lands Tree Replacement Required
Approved with conditions:
The applicant shall plant a replacement tree for each tree removed, or pay a fee in
lieu of planting, in accordance with the Sensitive Lands Tree Replacement
Standards in Section 6, part 2 of the Urban Forestry Manual.
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 - TRE2017-00027.
Best regards,
Community Planning Division
City of Tigard
RECEIVED
l,lly 01 1 igaru
COMMUNITY DEVELOPMENT DEPARI MEN 1 APR 2 4 2017
TIGARD 11CC r‘C11. Vvai r ciii. 1L I- pplikwaLiuil CINGETIGARD
PLANNING/ENGINEERING
PROPERTY INFORMATIONg / / REMOVAL CRITERIA
Address/location: LI C/ S - V�n u S If you are applying for a simple review,
your application must address one or
APPLICANT INFORMATION more of the relevant removal criteria for
T the type of tree you propose to remove.
Name: ��cu - (,� �pP t 4 The removal criteria can be found in the
Address: I 1 LI $ �• tJ (/Q/u S L i` Urban Forestry Manual as follows:
City/state: r5 c;r r) 6-1"/
Zip: '7 7?3
( •Street Tree:Section 3
• diTree:
5
Phone: 5-••,3 4-107 0S 1 Email: J/<ep a�J51'( ) ww , OiI •Senstive Lands Tree:
Section 6
Owner: El,:He as applicant •Development-required Tree:Section 7
•Urban Forestry Fund Tree:Section 8
CONTRACTOR/ARBORIST INFORMATION •Heritage Tree:Section 9
Name: •Documentation(e.g.arborist report,
photographs,site plan,tree risk
ISA/CCB#: / Expiration date: assessment form,etc.)of the
Address: conditions described must be included.
Tree replacement is required,unless
City/state: 'Lip: otherwise stated in the approval.
Phone: Email:
Contact person: ' "p, Si; ( \1
R1EQUIRED SUBMITTAL ELEMENTS
T REE REMOVAL IN FORMAT ION —to be completed by applicant wner's Signature/Written Authorization
Tree species: l P Num_of trees: 3 Site!PlotPlan(show location&species
of tat tree,2 copies)
Tree location: betC 6 ( (r o f&.)-y
Documentation(see removal criteria)
Reason(s) for Removal ' g Fee(complex only)
SIMPLE REVIEW PROCESS ] REVIEW PROCESS
Simple Complex
® Tree is a hazard E Removal required for approved
1Zi Tree is in an advanced state land use or building permit Fee(complex only): N)
of decline ® Tree is dead Case No.:g1ZFeQC/- - r'`).2---
Location conAicts with El Roots are causing damage Rehted Case No.(s):
TSP project ® Thinning necessary to protect Tact Lot ID:
® Species is on nuisance tree list other trees
1 Tree is infested with pests H1 Location does not meet Application a�c+cepted:
IN
or disease planting standards B5': L� Date: 2/ l-lir "
111 Tree has sustained physical El Recommended by Are marshal Application determined complete:
damage By: Lc' Date:
1,.CURPLx\Matas,Land Ur Applicsices Rev.11'11/2014
Continued on reverse-for complex review see page 2
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 2
COMPLEX REVIEW PROCESS(check applicable with brief proposal summary)
Efi Blocking views or solar access ® Undesirable species El Other(explain below)
7f1ti 4 fr )t o e lose
tom/, i -
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 THAI':
• The above request does not violate any deed restrictions that maybe 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.
SIGN Al UKES of each owner of the subject property required.
Mep1 c( - J y-1y— /7
Applicant's signature Print name Date
Owner's signature Print name Date
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 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 2
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