TRE2017-00045 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
•
I !GARD)
06/07/2017
David Walker
8045 Bewley Crk Rd
Tillamook, OR 97141
Re: Tree Removal Permit Record Number: TRE2017-00045
Dear David Walker:
On 06/07/2017 you submitted an application for tree removal at 13943 SW 155TH
TER. Your application specified that:
2 Douglas Fir
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 - TRE2017-00045.
Best regards,
Community Planning Division
City of Tigard
RECEIVED
City of Tigard JUN 0 6 2017
II .. COMMUNITY DEVELOPMENT DEPARTMENT
^ 1. • CITY OF TIGARD
TIGARD Tree Removal Permit AppICatiOnANNINGIENGINEERING
PROPERTY INFORMATION
REMOVAL CRITERIA
Address/location: /3 4",-/3 /$51;8 76n>qg6*A1) If you are applying for a simple review,
your application must address one or
APPLICANT INFORMATION ' more of the relevant removal criteria for
Name: C$I'ex-1E sa u ,,i,---vert� a,ri j >c-J 6/ the type of tree you propose to remove.
The removal criteria can be found in the
Address: /3 9//3 j 1/45"-S7 76=12 Ki-GE' Urban Forestry Manual as follows:
City/state: //-6.4e4PI 0k Zip: '9722 tzi •Street Tree:Section 3
Phone: 3-20 ti- 17127153-Email: (.4/71 G Sottve•t le CP 4°1-54.4.A-1
'Median Tree:Section 5
•Sensitive Lands Tree:Section 6
Owner: a't(me as applicant •Development-required Tree:Section 7
•Urban Forestry Fund Tree:Section 8
CONTRACTOR/ARBORIST INFORMATION •Heritage Tree:Section 9
Name: (Ahl-c - 72_'5 C//�U/VTII/Kr C(,e rnV6, Pv6, •Documentation(e.g.arborist report,
photographs,site plan,tree risk
/CCB#: _ /175'`83 Expirationat�� / date: 570 3J 19 assessment form,etc.)of the
Address: e geief// erg_ red ( conditions described must be included.
Tree replacement is required,unless
City/state: /;1/moo/c / m R Zip: f7/11/ otherwise stated in the approval.
Phone-503— -/2-1497Email: 4aufalieer§einhapIctil.cero
Contact person: D•eiv nl /191..w/e I OR S 111 F l ',►. O\1.1
REQUIRED SUBMITTAL ELEMENTS
TREE REMOVAL INFORMATION—to be completed by applicant )4 Owner's Signature/Written Authorization
Tree species: Rile Num.of trees: Z /P1otPlan(show location&species
of=Li tree,2 copies)
Tree location: pn gGt.GlL larerpgfiy
Documentation(see removal criteria)
Reason(s) for Removal \ ing Fee(complex only)
SIMPLE REVIEW PROCESS REVIEW PROCESS
1111., Simple ❑ Complex
Tree is a hazard ❑ Removal required for approved � qq+
❑ Tree is in an advanced state d use or building permit Fee(complex only): 1\-�+
of decline P7 Tree is dead Case No.:7P %2C3A"— pBDyK--'
❑ Location conflicts with ❑ Roots are causing damage Related Case No.(s):
. TSP project ❑ Thinning necessary toprotect Tax Lot ID: �Sg/9174 )
❑ Species is on nuisance tree list other trees
❑ Tree is infested with pests ❑ Location does not meet Application accepted: /
or disease planting standards By: /—... Date: ���1
❑ Tree has sustained physical ❑ Recommended by fire marshal Applicati�on�d+etermined compl te:
damage By: Lon
Date:
I:\CURPLN\Nssrea\Lana 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 0 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.
• 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 each owner of the subject property required.
Applicant's ture Print name ( Date
J`b'
O - -r's signa. .e Print name Date
C � Sovwe'vt,,Y &/z( ,
Owner's si• I e Print name Date
Pam 041/(2 , .s1.30/i7
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
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