TRE2018-00061 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
TIGARD
09/06/2018
William VanDiver
8710 SW Pinebrook
Tigard, OR 97224
Re: Tree Removal Permit Record Number: TRE2018-00061
Dear William VanDiver:
On 09/06/2018 you submitted an application for tree removal at 8710 SW
PINEBROOK ST. Your application specified that:
1 Big-leaf 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:
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 - TRE2018-00061.
Best regards,
Livvyumk
CYALVv\-'
Community Planning Division
City of Tigard
RECEIVED
City of Tigard
Ili
COMMUNITY DEVELOPMENT DEPARTMENT SEP O 6 2018
CITY C1="f�� A��
Tree Removal Permit Application P,.
l�rvl�r.l ;E{ EERING
TiGARD
PROPERTY INFORMATION
ii
O YW/274-6-
/ `�� AAddress/location: '� If you are applying fora simple review,
your application must address one or
APPLICANT INFORMATION more of the relevant removal criteria for
Name: 1A116 Lt 1 s4`/N-2 Will,/ le-e the type of tree you propose to remove.
�� v2 L4 ro 0 The removal criteria can be found in the
Address:
le ! f Urban Forestry Manual as follows:
City/state: / G q 4-a..0 Zip: 7-i Z z 4 •Street Tree:Section 3
Phoner�Z)3'66 3 "fizz_Email: �Ifj�iI( 7'z eto L_, •Median Tree:Section 5
• Sensitive Lands Tree:Section 6
Owner: `, h - Same as applicant •Development-required Tree:Section 7
•Urban Forestry Fund Tree:Section 8
CONTRACTOR/ARBORIST INFORMATION •Heritage Tree:Section 9
Name: A rbe 6—Ari--- 77--f-f5T, iv; C-e;
•Documentation(e.g.arborist report,
photographs,site plan,tree risk
ISA/B#1.6 5-- 7 Expiration date:' `' 7 . j T assessment form,etc.)of the
---- conditions described must be included.
Address: f& ,' g e rl ii2`IS/Ot
Tree replacement i s required,unless
City/state: t2/2 f1a-`10 Zip:?f7.f I otherwise stated in the approval.
Phone5fi 3 25 Z-t /0, Email: et°4t'>/kti.I L<JCP( (t, /L.
Contact person:i e i`7Yl C�d,.1/y 1 FOR STM I l `I: ()NL
QUIRED SUBMITTAL ELEMENTS
TREE REMOVAL INFORMATION—to be completed by applicant Owner's Signature/Written Authorization
Tree species: 69 /.. 4/L 1 � Num.of trees: ( Site/PlotPlan(show location&species
/ h_tree,2 copies)
Tree location: Si f/(w, Ife. //1:1, SI/6 5 7/LeilZ'
Documentation(see removal criteria)
iling Fee(complex only)
Reason(s)for Removal
REVIEW PROCESS
SIMPLE REVIEW PROCESS
'Simple 0 Complex
; .. Tree is a hazard ❑ Removal required for approved
land use or building permit Fee(complex only):
Cu .Tree is in an advanced � � is-0006
- 006
state of decline 0 Tree is dead Case No.:
❑ Location conflicts with ❑ Roots are causing damage Related Case No.(s):
0 TSP project
0 Thinning necessary to protect Application accepted:
LI Species is on nuisance tree other trees 'c Date:
1-�j -1 0
list By:
0 Location does not meet Application determined complete:
Eit Tree is infested with planting standards �—6 -11
P g By: .��_ Date:
pests or disease ❑ Recommended by fire marshal
N--Tree has sustained l:\Community Development\Land Use Applications\02 Fonns 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 • wwwtigard-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 ❑ 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 ach owner of the subject property required.
7 4t--)D) ` , -
Applicant's signature Print name Date
ki)LiZe6'
eta/ Ci.tt -e-- � /(1 �4-- -j . VND/ 63,
Owner's signature Print name Date
if& i
.� J,; b 4 / C/acczcJ / " 5-- 2 0/ -3)
Owner's signa e 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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