TRE2019-00004 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
EFIR
TIGARD
02/04/2019
PRIBYL FAMILY LIVING TRUST
13372 SW CLEARVIEW WAY
TIGARD, OR 97223
Re: Tree Removal Permit Record Number: TRE2019-00004
Dear PRIBYL FAMILY LIVING TRUST:
On 02/04/2019 you submitted an application for tree removal at 13372 SW
CLEARVIEW WAY. Your application specified that:
1 Blue Spruce
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:
Street Tree Replacement Required
Approved with conditions:
The applicant shall plant a replacement tree for each tree removed in accordance
with the Street Tree Planting Standards in Section 2, part 1 of the Urban Forestry
Manual. Existing trees may be considered as replacement trees if they meet all
applicable species, size, condition and location requirements in Section 2, part 1
and were not already required to be planted or preserved by the Tigard Municipal
Code.
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 - TRE2019-00004.
Best regards,
Community Planning Division
City of Tigard
RECE: VED
City of Tigard I COMMUNITY DEVELOPMENT DEPARTMENT
I � Tree Removal Permit Application I/IJAN 31 2019
Solicited de Permiso para RemoverArbole.s �' 'OF -IGA��
TIGARD PLANNING/ENGINEERING
PROPERTY ADDRESS I DIRECCION DE LA PROPIEDAD
REQUIRED SUBMITTAL
Address (Dirección): /3372 6.1-r/C1441 Y/FIt" ' ' ELEMENTS
REQUISITOS PARA APLICAR
APPLICANT I SOLICITANTE
v �Owner's Signature/Written
Name (Nombre): AAIA! PA/8n- Authorization
Address (Direction): 7/6/4R A eie 17 2-2 3 Firma del duenolAutori acion por
Phone(Tel): vO3 2 4 Z J �9 Email: APA/5tt 2e gy1/'IFD.G't escrito
ti4._ Site Plan(show location&
Owner(Duerr"o): g Same as applicant species of each tree,2 copies)
(Igual al solicitante) Croquis(Indicar ubicaciony especie de
CONTRACTOR/ARBORIST INFORMATION cada drbol,2 copias)
INFORMACION DEL CONTRATISTA/ARBOLISTA tkDocumentation (from removal
Company(Compania): WARD rime Geyer a G criteria)
Documentacion(del criteria de
Contact person(Contacto):
CHR IS TO i°iyC/Z WAR 0
e/locion)
ISA/CCB#:EN-069-6K/8,1'1,31-- Expiration(Expiration): 0 `pplication Fee (complex only)
Address (Direction):20470S 'PR/NIbI t AD, 7011A77N1 OR q 062 Pago (solo para el proceso complejo)
Phone (Tel): Sd3 3 0-J 10g Email: WAR rAgEGQI1j=t 684/1.C0P(
TREE INFORMATION—to be completed by applicant
INFORNIACION DEL ARBOL — el solicitante debt completar esta parte
FOR STAFF USE ONLY
Tree species (Bspecie del drbol): give -sRRUcZ Solo para use del personal
#of trees (#de urboles): I REVIEW PROCESS
Tree location(Ubieation del rirbol): ,4'4/liR +St De W4 c 4 l: Simple ❑ Co plex
Fee(complex only):
Reason(s)for Tree Removal I Razones para cortar el arbol aL
Case No.:TIZ
I. SIMPLE RFI VAX-PROCFISS I PROCESO DE REVISION SIMPLE
Related Case No(s):
❑ Tree is a hazard as determined ❑ Tree is dead(Arbol estd muerto) Application accepted: C
by an Arborist(El arbol es un
peligro segrin lo determinado par un ❑ Removal required for approved land use or By: /'��� Date:j/c
arholistu) building permit(Necesario para la aprobacion
,le nri permiso de/159 de Reek o construccion) Application determined compi te.
❑ Tree is in an advanced state of � ��++
decline(_f�rbol esta en estado de Roots are causing damage 1,. \" By: L./� Date:
deterioro apauwelo
(Lets raises estan causando dalo
Translated:
❑ Conflicts with TSP ProjectElThinning necessary to protect other trees
(Co>rf7icto con un pmyecto de (Es necesario ralear para proteger afros drboles) By: Date:
fr
tr-nsportacion TSP) A'Location does not meet T l Alantin standards
�, 1:\(_ommunity rkK-ek,pmeniV_and Use:'',pplications\0__yurms
I=1 Species is on nuisance tree list
(Ubicacidn no cumple con normas de plantation) and Templates'<,1..and Use Applications Rev.09/2018
(La especie esta en la lista de drboles ❑ Recommended by fire marshal
problernaticos) (Erre recomendado por e1 mariscal de incendios)
❑ It is infested with pests or disease ❑ Tree has sustained physical damage
(Enid infestado con plagas o (Arbol estd ficicamente daft-ado)
en f er7nedadei)
For0 cePX.hien',:reb:ww/nrsG:ois.-ee next a.11R: I r<.rn dt;c'f?i,)tit.L7'0 0,.ii;i' 0t4: it: ,t,pis, Jas,,:
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 3 of 4
TREE REMOVAL PERMIT APPLICATION
II. C(MIPLEX REVIEW PROCESS (check applicable reason and provide brief proposal summary)
PROCESO DE REVISION COMPI.FJO(Marque el motivo aplicable r di una explicaion breve)
❑ Blocking views or solar access ❑ Undesirable species ❑ Other (explain below)
(Bloqueo de vista o acceso solar) (Especie no deseada) Otro (eYplique dehnjo)
Please leave blank for stair I Dejar en Blanca para el personal
THE APPLICANT SHALL CERTIFY THAT: EL SOLICITANTE CERTIFICA QUE:
• The above request does not violate any deed restrictions • La solicited anterior no viola ninguna restriction de las
that may be attached to or imposed upon the subject escrituras de la pmpiedad que pueda.rer conectada a o impue.cta
property. sabre la pmpiedad en cuertion.
• If the application is granted,the applicant will exercise the • Si la solicitud es concedida,el solititante jercerd los derechos
rights granted in accordance with the terms and subject to concedidos de acuerdo con los terminos j ROM a las tvndiciones y
all the conditions and limitations of the approval. limitations de la aprobacion.
• All of the above statements and the statements in the plot • Todas las declaracioner anteriores y las declarations en el
plan,attachments,and exhibits transmitted herewith,are croquis,los documentos adjuntos,j muestras trasmitidas,son
true;and the applicants so acknowledge that any permit verdaderas,y los solicitantes asa retnnocen que cualgrrierperrrmiso
issued,based on this application,and may be revoked if it is concedido, basado en esta solicitud,puede ser revocado si se
found that any such statements are false. encuentra que aguna de estas ajirmaciones esfalra.
• The applicant has read the entire contents of the • El.rolicitante ha leido todo el contenido de la aplication,
application,including the policies and criteria,and incluyendo las politicas y triterios j comprende los requisitos para
understands the requirements for approving or denying the apmbar o neer la solicitud.
application.
SIGNATURES of each owner of the subject property required.
FIRMAS de cads dueno de la ropiedad en cuestion requeridas.
Atedi /4AE1 PA/5n-- 76'-2 /1
Applicant's sign atur (Firma del solicitante) Print name Nombre) Date (Fecha)
,irf, ,4 (
/ii iz tet PA// YZ.--- /-2‘.- 2 /T
Owner's signature (Firma del dueno) Print name (Nombre) Date (Fecha)
l�jjl ..C!'t f►,•`'-'• 4 L i H 6-fat t 1 ril L i z..�, -Z.*a`
Owner's signature `(Firma del dueno) Print name (Nombre) Date (Fecha)
Authorized agent's signature Print name (Nombre) Date (Fecha)
(Firma de agente autorkado)
City ofTigard • 13125 SW I lall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 4 of 4
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';' Map Created: (503)639-4171
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