TRE2018-00022 ts
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
TIGARD
04/03/2018
Kieshawn Lewis
15382 SW Arlington Terrace
Tigard, OR 97224
Re: Tree Removal Permit Record Number: TRE2018-00022
Dear Kieshawn Lewis:
On 04/03/2018 you submitted an application for tree removal at 15382 SW
ARLINGTON TER. Your application specified that:
1 Red Maple
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 - TRE2018-00022.
Best regards,
rf,, ,,,61/141Amk_ c6reiAt
Community Planning Division
City of Tigard
DigiSign Verified: 59404683-81 BA-4261-A 1 BB-1 CCD243AB991 RECEIVE C
City of Tigard APR 0 3 2 013
COMMUNITY DEVELOPMENT DEPARTMENT
CITY L F TIGARD
i
Tree Removal Permit Application PLANNING/ENG1r a t
TIGARD
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PROPERTYINFORMATION
15382 SW Arlington Ter,Tigard,Or 97224 REMOVAL CRITERIA
Address/location: If you are applying for a simple review,
your application must address one or
APPLICANT INFORMATION more of the relevant removal criteria for
the type of tree you propose to remove.
Name: Kieshawn I ewis The removal criteria can be found in the
15382 SW Arlington Ter
Address: Urban Forestry Manual as follows:
Tigard,Oregon 97224
City/state: Zip: •Street Tree:Section 3
503-544-5964 kieshawn@yahoo.com •Median Tree:Section 5
Phone: Email:
•Sensitive Lands Tree:Section 6
Owner: Kieshawn Lewis g 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
Address: conditions described must be included.
Tree replacement is required,unles s
City/state: Zip: otherwise stated in the approval.
Phone: Email:
Contact person: FOR STAFF USE ONLY
RQUIRED SUBMITTAL ELEMENTS
TREE REMOVAL INFORMATION—to be completed by applicant ner's Signature/Written Authorization
ACER rubrum-Oregon Glory �/
Tree species: Num.of trees: 1 LM Site/P1otPlan(show location&species
Curb/Parkingtrip each tree,2 copies)
Tree location: s
Documentation(see removal criteria)
Reason(s) for Removal Wriling Fee(complex only)
EVIEW PROCESS
SIMPLE REVIEW PROCESS
Simple ❑ Complex
❑ Tree is a hazard ❑ Removal required for approved
land use or building permit Fee(complex only):
❑ Tree is in an advanced Case No.: �CNE2-012-000/.2
state of decline ❑ Tree is dead
❑ Location conflicts with g Roots are causing damage Related Case No.(s):
❑ TSP project
❑ Thinning necessary to protect Application accepted:
❑ Species is on nuisance tree other trees St
list By: C- Date: 11'3--,f
❑ Location does not meet Application determined complete:
❑ Tree is infested with planting standards By: EC Date: 9 3--1
pests or disease ❑ Recommended by fire marshal
❑ Tree has sustained C\Community Development\Land Use Applications\02_Forms and
Templates\Land Use Applications Rev.12/14/2017
physical damage
Continued on reverse-for complex review see page 2
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City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 2
DigiSign Verified: 59404683-81 BA-4261-A 1 BB-1 CCD243AB991
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.
• 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.
Kieshawn Lewis 04-03-2018
Applicant's signature Print name Date
Kieshawn Lewis 04-03-2018
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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