Type Full Name :
Sign With Hand
Lot
Number of Tree(s)
Fee Due
Application for Tree Removal Permit
Block
2.
Municipal Registration #*
www.yourtown.us
Contractor Name*
(555) 555-5555
Planned Date of Action
$250.00
Planned Date of Action*
Contractor Name
Tree Restoration / Replanting Plan
The Tree Removal Plan and Tree Restoration Plan fully comply with all requirements of the Tree Preservation Commission.
Cost of Replanting
Zip*
4.
Species of Trees being Replanted
Tree Removal Contractor
3.
5.
Email*
1.
* Indicates required field
Property Address
Applicant Signature*
State*
Last Name*
City*
Fee Schedule
The required number of tree(s) will be timely replanted on the applicant's property or the required payment to the Your Town Replacement Fund is included with this application.
The information contained in this application is true and accurate.
I hereby certify the following:
Telephone #
Applicant Information
The required permit fee will be paid as per the fee schedule above.
Fee per Tree in lieu of Tree being Replanted
Number of Tree(s)
Tree Removal Plan
123 Main Ave
Fee per Tree being Removed
$15.00
Property Location
Your Town, USA 00000
The work is to be performed by a Tree Removal Contractor registered with Your Town.
Applicant Certification
First Name*
Unit #
Address*
Telephone #*
Email
Type of Work*
Your Town