Fillable Form 91773: Permit Tree Parks and Recreation Department (City of San Dimas)

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Form 91773: Permit Tree Parks and Recreation Department (City of San Dimas)

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The Form 91773: Permit Tree Parks and Recreation Department (City of San Dimas) form is 1 page long and contains:

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Tree
Permit
Parks and Recreation
Department
Landscape Maintenance
Division
245 East Bonita Avenue,
91773
Phone #: (909) 394-6230 Fax #: (909) 394-6205 email: parksrecreation@sandimasca.gov
Date:
Property
Owner:
Contractor:
Address:
Address:
Telephone:
Telephone:
Type of Permit
Planting Root-Pruning Pruning
Other
(please
explain):
Number of
Trees
Affected:
Reason
for
Request:
I,
detailed above at
( Address )
do hereby request authorization of the City of San Dimas to perform the work as
in accordance with all City specifications. I further agree to bear all costs
and liabilities connected with the approved project; and that, any contractor or subcontractor used to complete this project
is identified and approved by the City of San Dimas; and that, I will contact the Municipal Arborist at (909) 394-6230 at
least 48 hours prior to commencing work in order to schedule an inspection.
Approved Denied Approved with Modifications
Modifications:
Date:
Signature of Parks and Recreation Director or designee Signature of Permit Recipient
* Permit Expires 60 Calendar Days from date of approval
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Form 91773: Permit Tree Parks and Recreation Department (City of San Dimas)

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Completed 16 July 2020

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