TRE2017-00029 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
TIGARD
05/09/2017
THOMPSON, CAMILLE
9420 SW Lakeside Drive
TIGARD, OR 97224
Re: Tree Removal Permit Record Number: TRE2017-00029
Dear THOMPSON, CAMILLE:
On 05/01/2017 you submitted an application for tree removal at 15285 SW 94TH
AVE. Your application specified that:
1 Flowering Cherry
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 - TRE2017-00029.
Best regards,
A104.0 Kitik
Community Planning Division
City of Tigard
RECEIVED
IIICity of Tigard MAY 01 2017
_ COMMUNITY I)EVELOPMENT DEPARTMENT
Tree Removal Permit Application CITY OF TIGARD
T 1 c A R�� PLANNING/ENGINEERING
PROPERTY INFORMATION
REMOVAL CRITERIA
Address/location: / . . , �17/1,r/b T-A,Z.L
If you are applying for a simple review,
your application must address one or
APPLICANT INFORMATION more of the relevant removal criteria for
Name: b S% -7\IL/‘1' the type of tree you propose to remove.
_ The removal criteria can be found in the
Address: r71/1drC-' `- 6.' t�r�k�/=e;,ZJ-- ../.4). Urban Forestry Manual as follows:
City/state: /K4•F.'.P t (7 ,-' Zip: i''./._,,,'
. - --7:':// •Street Tree:Section 3
•Median Tree:Section 5
Phone: -i)y/•`f5%-S /7 Email: F/-)S..-/ 't >"' . ?y/G.eiilv
•Sensitive Lands Tree:Section 6
Owner: (r/j/'))40= %77JL i72PSC)V ❑ Same 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
conditions described must be included.
Address:
Tree replacement is required,unless
City/state: Zip: otherwise stated in the approval.
Phone: Email:
Contact person: I '1 1l I t ,I, t iNl_l
REQUIRED SUBMITTAL ELEMENTS
TREE REMOVAL
)INFORMATION—to be completed by applicant y-(Owner's Signature/Written Authorization
Tree species: VZ`tC MCI CNN"c'\ Num.of trees: / p(Site/PlotPlan(show location&species
r 7 of each tree,2 copies)
Tree location: X'k iiii `-�/11)E G 2N P--2>/.,0 /)/)A---7.'
tit Documentation(see removal criteria)
Reason(s) for Removal ❑ Filing Fee(complex only)
SIMPLE REVIEW PROCESS REVIEW PROCESS
..- Simple 0 Complex
0 'Free is a hazard 0 Removal required for approved
0 Tree is in an advanced state land use or building permit Fee(complex only):
of decline Tree is dead Case No.: c Wn—C CO29
❑ Location conflicts with 0 Roots are causing damage Related Case No.(s): Q
TSP project ❑ Thinning necessary to protect Tax Lot ID: 11 DB V��
❑ Species is on nuisance tree list other trees
O Tree is infested with pests ❑ Location does not meet Application accepted:
or disease planting standards By:---1--t=—Dater I 1 l I 1
0 Tree has sustained physical ❑ Recommended by fire marshal Application termined com 1e:
damage By: Date: t
t va.ntr 1.\xi....,U.nd Use Afrbtalont Re, 12/11/22014
Continued on reverse-for complex review see page 2
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-otgov • 503-718-2421 • Page 1 of 2
COMPLEX REVIEW PROCESS(check applicable with brief proposal summary)
❑ Blocking views or solar access ❑ Undesirable species ❑ 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.
• "1'hc applicant has read the entire contents of the application,including the policies and criteria,and understands the
requirements for approving or denying the application.
SIGNATLSJRES of gagh owner of the subject property required.
E7re) lz:/ge/7
Applicant's signature ! • Print name bate
CI i.a' . 4 f- .) .. i ,
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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