CITY TREE PERMIT APPLICATION
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Applicant must complete sections A and B, and return form to: Engineering Department
505 S. Vulc
an Ave
Encinitas, CA 92024
(760) 633-2770
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SECTION A
Name of Applicant:
Date of Application:
Address of property where trees are located:
Name of owner if different from applicant:
Applicant’s day phone number:
Email address:
Project number:
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SECTION B
I request permission to perform the following work: Plant Trim Remove
Removals require a replacement tree
All requests must include a picture of the tree(s)
A Certified Arborist Report may be required.
Location of tree(s):
Tree species:
General condition of tree (s):
Reason for request:
Updated: May 30, 2014 1
CITY TREE PERMIT APPLICATION
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SECTION C
(City Use Only)
Date Received:
Date of Site Evaluation:
Tree(s) in Inventory:
Diseased:
Yes
Tree (s) ID Number (s):
Hardscape Damage:
Yes
Photo attached:
Overhead Utilities:
Yes
Arborist’s Report:
Notes:
APPROVAL
CONDITIONAL APPROVAL
DENIED
*CONDITIONS:
Supervisor:
Superintendent:
Updated: May 30, 2014 2
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