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TRE2020-00003 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223Er TIGARD 02/03/2020 Matthew Rodger 12522 SW 123rd Ave Tigard, OR 97223 Re: Tree Removal Permit Record Number: TRE2020-00003 Dear Matthew Rodger: On 02/03/2020 you submitted an application for tree removal at 12522 SW 123RD AVE. Your application specified that: 1 Douglas Fir 1 Ponderosa Pine 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 - TRE2020-00003. Best regards, Community Planning Division City of Tigard RECEIVED City of Tigard FEB 0 3 2020 COMMUNITY DEVELOPMENT DEPARTMENT CITY O> TIGHRD C NNINGIENGINEERING Tree Removal Permit Application TIGARD PROPERTY INFORMATION tZ��2Z rjk} lZ3r� R7ZZ3 REMOVAL CRITERIA Address/location: If you are applying for a simple review; your application must address one or APPLICANT fINFORMATION more of the relevant removal criteria for Name: V 4 Cl�ui-W.) (z-ei'S``,;:r-NL the type of tree you propose to remove. 2 a The removal criteria can be found in the 2 Address: ( gt.3 ( 25ca Urban Forestry Manual as follows: City/state: T t9c'^r-4 0 Q- Zip: '7 72 3 •Street Tree:Section 3 Phone: ( 2 3/ Yy6g Email: h tAe,IC.. r c ^,(,r �gcttc.,(.Go,--t •Median Tree:Section 5 •Sensitive Lands Tree:Section 6 Owner: /Came as applicant •Development-required Tree:Section 7 •Urban Forestry Fund Tree:Section 8 CONTRACTOR/ARBORIST INFORMATION •Heritage Tree:Section 9 Name: Evergreen Tree Services •Documentation(e.g.arborist report, photographs,site plan,tree risk ISA/CCB#: / 199579 Expiration date: 10/10/2019 assessment form,etc.)of the Address: 15532 SW Pacific Hwy PMB#304 conditions described must be included. Tree replacement is required,unless City/state: Tigard, OR Zip: 97224 otherwise stated in the approval. Phone: 503-625-4595 Email: office©evergreentsl.com Contact person: Ft)R S I \FP t si, O\I.1 REUIRED SUBMITTAL ELEMENTS TREE REMOVAL INF RMATION—to be completed by applicant vner s Signature/Written Authorization Tree species Pau 77r Num.of trees: ( "9to/P1otP1an(show location&species LA T L . tree,2 copies) Tree location: y -}—l� Cr(MA-I 2 �Documentation(see removal criteria) I Reason(s) for Removal �'' 'a g Fee(complex only) REVIEW PROCESS SIMPLE REVIEW PROCESS 1�J/ ` Simple ❑ Complex Tree is a hazard ❑ Removal required for approved Pit( ❑ Tree is in an advanced state land use or building permit Fee(complex only): N (1 of decline rel. Tree is dead p4t�„\ Case No.: 772 0c24"ii 't3 ❑ Location conflicts with 1 Roots are causing damage Related Case No.(s): TSP project ❑ Thinningnecessarytoprotect Tax Lot ID: ❑ Species is on nuisance tree list other trees ElTree is infested with pests ❑ Location does not meet Application accepted: or disease planting standards By: k.3 Date:_W__240_ ❑ Tree has sustained physical ❑ Recommended by fire marshal Applic tiopn determined complet damage By: /� Date: a I:\GURPIN\Maslen\tyd use dppliaiom Rev.12/11/2014 Continued on reverse-for complex review see page 2 City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwrigard-or.gov • 503-718-2421 • Page 1 of 2 COMPLEX REVIEW PROCESS(check applicable with brief proposal summary) 0 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 wner of the subject property requited. Il m ____ t P—Cide —rr 1/' a/Z® Applicant's signature Print name Date er s s' tur Print name Date�-1 GIL buil r��� // ()f202o Owners ignature 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-oLgov • 503-718-2421 • Page 2 of 2 Vicinity Map tali I Beaverton b i .41 t i y a r d City of Tigard, Oregon -; © CWS Vegetated Corridor ' Goal 5 Signifkant Habitat Areas T!!'a a t f n /&) 0a i Highest vane Habitat �} - Moderate Value LJ Habitat " � Lower Value Habitat ♦ 4 rt♦ l • I frg 0 9pHoTigard Local Wetland Inventory ne oa $ 0 Non-Significant JVrkdICGOMI t " a Total:49.88 ft Goal 5 Safe Harbor �'.,, n gLIS Slopes Greater than 25% $ i s • S., S� . /` 49 8g ft a ^ f ,� T�z 1 f�� 2 1 l s i . 4 .. Ke"L �� a on ..e r ..uuro� ♦ metes only a e r oo. u eme r �... e. A q v .i ey-'y-g w MIN I : ' I 1 Scale: 0.01 Miles a —. :.. . .-J-` vs' ' . 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