Fillable Form 20601 Tree Removal (City of Gahanna)

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Form 20601 Tree Removal (City of Gahanna)

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The Form 20601 Tree Removal (City of Gahanna) form is 4 pages long and contains:

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  • 24 check-boxes
  • 40 other fields

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File type: PDF

U.S.A. forms for City of Gahanna

BROWSE CITY OF GAHANNA (OH) FORMS

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ZONING DIVISION
200 S. Hamilton Road
Gahanna, Ohio 43230
614-342-4025
zoning@gahanna.gov
www.gahanna.gov
RECEIVED: ________
DATE: ____________
PAID: _____________
DATE: ______________
CHECK#: ____________
Zoning File No. _________________
INTERNAL USE
TREE REMOVAL PERMIT APPLICATION
PLEASE NOTE: This application is not to be considered complete until all documents are received and approved by the Planning & Zoning Administrator.
Project/Property Address or Location:
Project Name/Business Name (if applicable):
Parcel ID No.(s):
Current Zoning:
APPLICANT Name (primary contact) -do not use a business name:
Applicant Address:
Applicant E-mail:
Applicant Phone No.:
BUSINESS Name (if applicable):
ATTORNEY/AGENT Name:
Attorney/Agent Address:
Attorney/Agent E-Mail:
Attorney/Agent Phone No.:
ADDITIONAL CONTACTS (please list all applicable contacts)
Name(s):
Contact Information (phone no./email):
Contractor
Developer
Architect
PROPERTY OWNER Name: (if different from Applicant)
Property Owner Contact Information (phone no./email):
APPLICANT SIGNATURE BELOW CONFIRMS THE SUBMISSION REQUIREMENTS HAVE BEEN COMPLETED (see page 2)
I certify that the information on this application is complete and accurate to the best of my knowledge, and that
the project as described, if approved, will be completed in accordance with the conditions and terms of that
approval.
Applicant Signature: _____________________________________________ Date: ____________________
THIS FORM IS AVAILABLE TO BE SUBMITTED ONLINE: www.gahanna.gov
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ZONING DIVISION
200 S. Hamilton Road
Gahanna, Ohio 43230
614-342-4025
zoning@gahanna.gov
www.gahanna.gov
TREE REMOVAL PERMIT APPLICATION – SUBMISSION REQUIREMENTS
PLEASE NOTE: This application is not to be considered complete until all documents are received and approved by the Planning & Zoning Administrator.
THIS FORM IS AVAILABLE TO BE SUBMITTED ONLINE: www.gahanna.gov
APPLICATION ACCEPTANCE
This application has been reviewed and is considered complete and is hereby accepted by the Zoning Division of
the City of Gahanna and shall be forwarded to Administration for consideration.
Planning & Zoning Administrator Signature: _______________________________________ Date: ___________
STAFF
USE -
INTAKE
TO BE COMPLETED/SUBMITTED BY THE APPLICANT:
APPLICANT
STAFF USE
YES
N/A
YES
N/A
1. Review Gahanna Code Section 913 and Section 914 (visit www.municode.com)
2. Tree Survey – signed by a landscape architect or certified arborist – 11”x17” copy
3. Tree Preservation Plan with elements described in Gahanna Code Section 914.06 –
11”x17” copy
4. A list of trees being removed including reasons for removal
5. Application fee (in accordance with the Building & Zoning Fee Schedule)
6. Application & all supporting documents submitted in digital format
7. Application & all supporting documents submitted in hardcopy format
8. Authorization Consent Form Complete & Notarized (see page 3)
ADDITIONAL SUBMISSION REQUIREMENTS FOR REMOVAL OF MORE THAN 25% OF PROTECTED TREES
9. Species type and size to be removed
10. Condition of tree(s) to be removed
11. Whether the tree(s) pose a safety hazard
12. Economic viability of site without tree removal
INTERNAL USE
ZONING DIVISION
200 S. Hamilton Road
Gahanna, Ohio 43230
614-342-4025
zoning@gahanna.gov
www.gahanna.gov
AUTHORIZATION CONSENT FORM
(must sign in the presence of a notary)
If you are filling out more than one application for the same project & address, you may submit a copy of this form with additional applications.
AUTHORIZATION FOR OWNER’S APPLICANT OR REPRESENTATIVE(S) If the applicant is not the property owner, this section
must be completed & notarized.
I, _______________________________________, the owner or authorized owner’s representative of the subject property listed on
this application, hereby authorize _________________________________________ to act as my applicant or representative(s) in all
matters pertaining to the processing and approval of this application, including modifying the project. I agree to be bound by all terms
and agreements made by the designated representative.
Property Owner Signature: _______________________________________________ Date: ____________________
AUTHORIZATION TO VISIT THE PROPERTY
I, ___________________________________, the owner or authorized owner’s representative of the subject property listed on this
application, hereby authorize City representatives to visit, photograph and post notice (if applicable) on the property as described in
this application.
Property Owner Signature: _______________________________________________ Date: ____________________
Subscribed and sworn to before me on this ______ day of ________________, 20______.
State of _________________ County of __________________
Stamp or Seal
Notary Public Signature: _______________________________________________
AGREEMENT TO COMPLY AS APPROVED
I, ___________________________________, the applicant of the subject property listed on this application, hereby agree that the
project will be completed as approved and any proposed changes to the approved plans shall be submitted for review and approval
to the Zoning Division staff.
Applicant Signature: ____________________________________________________ Date: ____________________
Subscribed and sworn to before me on this ______ day of ________________, 20______.
State of _________________ County of __________________
Stamp or Seal
Notary Public Signature: _______________________________________________
NOTARY
NOTARY
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ZONING DIVISION
200 S. Hamilton Road
Gahanna, Ohio 43230
614-342-4025
zoning@gahanna.gov
www.gahanna.gov
NO TREE MAY BE REMOVED PRIOR TO OBTAINING APPROVAL FROM THE CITY
INTERNAL USE
TREE REMOVAL PERMIT APPROVAL
In accordance with Section 913 and 914 of the Codified Ordinances of the City of Gahanna, Ohio, I hereby certify that
the project, as submitted on the application, was approved by Administration on __________________. The applicant
shall comply with any conditions approved and shall comply with all building, zoning and landscaping regulations of the
City of Gahanna. THIS PERMIT IS VALID FOR 180 DAYS AFTER APPROVAL.
Site Location/Address: _______________________________________________ Permit No. ____________________
APPROVED ☐
Planning & Zoning Administrator Signature: _________________________________________ Date: _____________
City Arborist Signature: _________________________________________________________ Date: _____________
ADDITIONAL APPROVAL FOR REMOVAL OF MORE THAN 25% OF PROTECTED TREES ☐
Director of Planning & Development Signature: ______________________________________ Date: _____________
Director of Parks & Recreation Signature: __________________________________________ Date: _____________
Director of Public Service & Engineering Signature: ___________________________________ Date: _____________
APPROVAL CONDITIONS: ________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
The applicant must contact the City of Gahanna, Zoning Division (614.342.4025) to schedule a removal
inspection upon completion of removal.
INSPECTION
Date requested: ____________________________ Date performed: ____________________________
Results: _________________________________________________________________________________________
Inspector Title/Signature: ___________________________________________________________________________
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Form 20601 Tree Removal (City of Gahanna)

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Completed 14 July 2020

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