HOMEOWNER:__________________________________________________________
ADDRESS:______________________________________________________________
TELEPHONE:___________________________________________________________
DATE:_________________________________________________________________
{Not to scale}
Please sketch your home, lot and the approximate location of tree(s) you are requesting permission to remove and the reason(s).
Please include height and diameter of all trees and explain why you are now requesting permission to remove the tree(s).
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Date request received:______________________________________________________
By: ____________________________________________________________________
Request: ________________ Approved ________________ Denied
Committee Members: ______________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Comments: ______________________________________________________________