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TRE2017-00067 City of Tigard, Oregon - 13125 SW Hall Blvd. • Tigard, OR 97223 TIGARD 09/06/2017 JAHANGIRI, JAHANGIR SABET, ZOHREH HEIDARI 12160 SW HOLLOW LN TIGARD, OR 97223 Re: Tree Removal Permit Record Number: TRE2017-00067 Dear JAHANGIRI, JAHANGIR: On 09/06/2017 you submitted an application for tree removal at 12160 SW HOLLOW LN. Your application specified that: 2 Unknown 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 - TRE2017-00067. Best regards, Community Planning Division City of Tigard RECEIVED City of Tigard r 111 . COMMUNITY DEVELOPMENT DEPARTMENT SEP 0 6 2017 Tree Removal Permit Application CITY OF TIGARD TIGARD PLANNINGIENGINEERING PROPERTY INFORMATION hd4'o 'v 4 ��11REMOVAL CRITERIA Address/ 2 IiOlocation: (- ^ J If you are applying for a simple review, V2 }R_ -Z✓ your application must address one or APPLICANT INFORMATION more of the relevant removal criteria for Name: 7 n e IA H /Jay the type of tree you propose to remove. The removal criteria can be found in the Address: \ 2 16o S vv ii 0i ow Li 1/1 Urban Forestry Manual as follows: City/state: 1 15 c ) OR_ Zip: 9-4 223 •Street Tree:Section 3 `/ . •Median Tree:Section 5 Phone: ,... ',79S-8 Li a q GC*mail:al�tYeit`�C4 b.F A rc).(i1'_ •Sensitive Lands Tree:Section 6 Owner: )/1/Y g e 1 fEl 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,unless City/state: Zip: otherwise stated in the approval. Phone: Email: Contact person: i crit *1 \i I I si. O\1.1 QUIRED SUBMITTAL ELEMENTS TREE REMOVAL INFORMATION—to be completed by applicant Owner's Signature/Written Authorization Tree species: Num.of trees: Site/P1otPlan(show location&species Y^,�.�.,� of tree,2 copies) Tree location: 61d"YOl!1 C.{/Y t/ xDocumentation(see removal criteria) Reason(s) for Removal is011Ailing Fee(complex only) SIMPLE REVIEW PROCESS / REVIEW PROCESS Simple ❑ Complex ❑ Tree is a hazard ❑ Removal required for approved n� ❑ Tree is in an advanced state land use or building permit Fee(complex only): I v kt"-- of decline fl Tree is dead Case No.: — /� -C7 a9-. ❑ Location conflicts with d Roots are causing damage Related Case N_C.o.(s): Q TSP project ❑ Thinning necessary to protect Tax Lot ID: ". '1030 /a36-0 ❑ Species is on nuisance tree list other trees ElTree is infested with pests CILocation does not meet Applicati/on accepted: ( or disease planting standards By: S Date: Tree has sustained physical ❑ Recommended by fire marshal Application determined compl damage By: �� Date: �� ® 1\CURPLN\blasters\Land U,e Applications Rev.12/11/2014 Continued on reverse-for complex review see page 2 .._..,... .:.._ .., _- a 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 each owner of the subject property required. - 1 Applicant's signature Print name Date 7ok zk ?- �d q-6 - I �- Owner's attire 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 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2 12160 SW Hollow Ln-Google Maps https://www.google.com/maps/place/12160+SW+Hollow+Ln,+Tigard,+OR+97223/@45.42... Google Maps 12160 SW Hollow Ln - - T 1 A $, I 0010.11111r s Google Image capture:Jan 2016 ®2017 Google United States Tigard,Oregon Google,Inc. Street View-Jan 2016 1 of 1 9/6/2017,5:21 PM ty' it 4/0 • V- ,'+ , "rto : • r � jt . ,41,,,4•,,. . , ,,,41„ 'I 4 A or y +1'` • • " + t . . w Oil s ? a t ' 1' 1 i ' .. f ` -- - !-x`'Y� L�4 is Q _ 4.4. 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