Application For Permission To Fell/cut Tree(S) - City Of Astoria Engineering Department
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1
2City of Astoria
FOR CITY USE ONLY:
1095 Duane
Astoria, OR 97103
Permit No. _______________
Date: ___________________
Engineering Department
Phone: 503-338-5173
Fax:
503-338-6538
APPLICATION FOR PERMISSION TO FELL/CUT TREE(S) ON
*CITY PROPERTY OR **UNOPENED CITY RIGHT-OF-WAY
Check All that Apply
View
Shades Property
Hazardous
Firewood
Other
Reason:
Fall
Top
Trim
Method:
Applicant: __
_________ Owner
Renter
Address:
________________________ Phone:
Site Location:
Map/Tax Lot
________________
Work to be performed by:
__________
Mailing Address:
________________________________ Fax: ________________
Phone:
__ Insurance Company:
Policy #:
_____
Sketch Area Showing:
1.
Location, size,
and species of
tree(s).
2.
Your property.
3.
Adjacent
property owners
as listed below.
SIGNATURE BELOW INDICATES CONCURRENCE WITH TREE CUTTING (REQUIRED ON CITY PROPERTY ONLY)
Signature
Address
Phone
Remarks
1.
2.
3.
4.
5.
6.
Over →
\\CH3\PublicWorks\General Eng\PERMITS\Permit Forms\TREE CUT CITY PROPERTY PERMIT.doc
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