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TRE2018-00019 ,Its City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 IlGARD 03/29/2018 Jack Steerman 15618 SW Summerfield Ln Tigard, OR 97224 Re: Tree Removal Permit Record Number: TRE2018-00019 Dear Jack Steerman: On 03/29/2018 you submitted an application for tree removal at 15618 SW SUMMERFIELD LN. Your application specified that: 1 Black 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 - TRE2018-00019. Best regards, Community Planning Division City of Tigard RECEIVED City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT MAR 2 201$ CITE' OF TIGARD TIGARD Tree Removal Permit Application PLAN NINGIENGINEERING PROPERTY INFORMATION REMOVAL CRITERIA Address/location: t E:(.0 5. ', l) 1U Wit.���l��'� ►J IfYou are applying 1 in for a simple review, your application must address one or APPLICANT INFORMATION more of the relevant removal criteria for thepropose to remove. Name: � �k � 1�''�� b�'� C�yV lir� � 1 p f,1/�! type of tree you P P r / The removal criteria can be found in the Address: ti CD �v\A /W �"°�-\-� Uk) /`-_610 Urban Forestry Manual as follows: City/state: T\ ►4\r_h C;rf Zip: q 2Zk • Street Tree:Section 3 r J rOL-T:RA.AUt. 12th *„� 'Median Tree:Section 5 Phone:61 j��y Email: ��; •Sensitive Lands Tree:Section 6 Owner: JA 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. Treereplacementis required,unless City/state: Zip: otherwise statedin the approval. Phone: Email: Contact person: FOR STAFF USE ONLY REQUIRED SUBMITTAL ELEMENTS TREE REMOVAL INFORMATION—to be completed by applicant /Owner's Signature/Written Authorization Tree species e-- - Nurn.of trees: Site/PlotPlan(show location&species of each tree,2 copies) Tree location: b (0I W So tAAAAA(V 6 °- Documentation(see removal criteria) Reason(s) for Removal 111 Filing Fee(complex only) SIMPLE REVIEW PROCESS REVIEW PROCESS 6 ❑ Simple ❑ Complex ❑ Tree is a hazard ❑ Removal required for approved land use or building permit Fee(complex only): ❑ Tree is in an advanced01 Ci state of decline ❑ Tree is dead Case No.: T - 2/0156 (•!� ❑ Location conflicts with Roots are causing damage Related Case No.(s): ❑ TSP project ❑ Thinning necessary to protect Application accepted: ❑ Species is on nuisance tree other trees (Y) Date: 3I'�', list By: Location does not meet Application determined com Tete•2pi ' (6 ❑ Tree is infested with planting standards By: n Date: pests or disease 0 Recommended by fire marshal O Tree has sustained I:\Community Development\Lad Use Applications\02_Forms and Templates\Land Use applications Rev.12/14/2017 physical damage 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 ❑ Undesirable species vt Other (explain below) RQcc5 t JV4.51UL- rt% II I � j 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. 3-Trs-) ikkAkr1 3/2Io/la( p cant's signature Print name Date r 5- A_ ear wm /24v 101‘ ON is signature Print name Date a__ 1��0(i / ' &i M /o4'e 3/ c,/1 0/e Owner's si: ture 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 I 7,1 1V- , ,: rr',41r,' OM A.,-' • CiTIDg ',?ogto DGS .` "-ii . 1, iir,: : 1 w ingic �� { .1 . .1:j ' ...._ I .I.1 7- ti40* C rj 1J' X r.4Y.K.) 1.t r / t _ :;� III ' r-.. _ Y r ' y I- r 44 ,. x to .r I .0 " -: . ' 5 6.:1.•: jp(,.;" it 4 -' ' . ,. ..'. . • , . .,.., 0 ,ei'l ..t2-, ii. 0 •r,- „..4,4i ` 'R .., ,. .:. , 1 0 , . , c 4 ., , . ,, .e.,,,.**. , \ .,. ,-. . :..X N, 1:14-3,1a ' 1:tiN ,, . N 10'4' - ./,i.,f ' 1 ... 1,-,..!:/4,.. ,,,..,4,,,,i, ,..../......... 'il 1 \'7. 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