Fillable CITY OF LACEY REQUEST FOR REVIEW BY Community (City of Lacey)

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CITY OF LACEY REQUEST FOR REVIEW BY Community (City of Lacey)

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FORM: TREEPROF-4
CITY OF LACEY
Community Development Department
420 College Street SE
Lacey, WA 98503
(360) 491-5642
REQUEST FOR REVIEW BY
TREE PROTECTION PROFESSIONAL
I would like to have the trees on my property reviewed by the city’s Tree
Protection Professional.
Address of Property: _________________________________________
Assessor’s Tax Parcel Number: _________________________________
Property Owner’s Name: ___________________________________________________________________
Mailing Address: __________________________________________________________________________
City, State, Zip: __________________________________________________________________________
Daytime Telephone: ___________________________
Size of Lot: __________________________________ Number of Existing Trees: ___________
Number of Trees to be Removed: ___________ (Cannot exceed five trees in 36 months)
I understand that the cost of this service will be paid by me at the rate of $67.00 per hour, see table below for
exceptions. I understand that the cost of this service is in addition to any normal permit fees.
______________________________________________ _________________________________
Applicant’s Signature Date
OFFICIAL USE ONLY
Case Number: ___________
Date Received: __________
By: ___________________
Related Case Numbers:
_______________________
_______________________
Referred to Tree Protection
Professional on: _________
Applican
t
Forester’s Recommendation Part
y
Responsible for
Payment
Homeowner Minimum of one tree defined as
hazard tree (LMC 14.32.060(I))
Cit
y
Homeowner
N
o trees analyzed that would
meet definition of hazard tree
Homeowner
Homeowner’s/Condo Owner’s
Association
Minimum of one tree defined as
hazard tree
Cit
y
Homeowner’s/Condo Owner’s
Association
N
o trees analyzed that would
meet definition of hazard tree
Homeowner’s Association
Commercial (Including
Multifamily)
An
y
Commercial
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CITY OF LACEY REQUEST FOR REVIEW BY Community (City of Lacey)

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Completed 4 August 2020

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