Fillable Roadside Tree Affidavit (City of Rockville)

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Roadside Tree Affidavit (City of Rockville)

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BROWSE CITY OF ROCKVILLE (MD) FORMS

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City of Rockville
Community Planning and Development Services
Inspection Services Division
240-314-8240 / 240-314-8265 (Fax)
www.rockvillemd.gov/isd
Roadside Tree Affidavit
APPLICANT INFORMATION
Name
Mailing Address
Phone Number
Project Address
Building Permit Number
BLD20
-
Pursuant to the State of Maryland Roadside Tree Law (NRA §5-401—5-406, Annotated
Code of Maryland), the City of Rockville may not issue a building permit to an applicant
for any clearing, construction or development that will result in the planting, trimming,
cutting, removal or injury of a roadside tree until the applicant first obtains a permit
from the State of Maryland Department of Natural Resources.
A roadside tree is any tree that grows all or in part within a public road right-of-way. A
roadside tree permit is also needed to plant a tree within the public road right-of-way.
If tree care or removal is performed on a roadside tree without a permit, the Maryland
DNR Forest Service may assess a fine or more severe actions.
I hereby certify that I have the authority to make the foregoing application, that the
application is correct, and that the management of roadside trees shall conform to the
regulations Maryland State Roadside Tree Law. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any other state or local
law regulating the management of roadside trees.
____________________________ ____________
Applicant Signature Date
____________________________
Applicant Printed Name
To obtain information on the Roadside Tree Law or to obtain a Roadside Tree Permit,
please visit the State of Maryland Department of Natural Resources on the web at
www.dnr.state.md.us Revised 01/10/19
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Roadside Tree Affidavit (City of Rockville)

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Completed 16 July 2020

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