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This application is to request approval to remove street trees located within the public right-of-way. Removed
trees generally require replacement, as per City Development Code §10-3C-4, unless otherwise approved by the
City. Be sure to also coordinate with your HOA (if applicable) to meet any additional requirements they may
have. Along with this application please provide the following:
o Report from a Certified Arborist or other qualified professional, which identifies the tree and includes thei
r
recomme
ndation for remo
val
o Aerial snapshot of your property identifying which tree is proposed for removal and verifies that its location is
within the public right-of-way
All businesses which are located in or perform work in the City must have a current WA State Business License
with a City of Liberty Lake Endorsement.
CHECK ONE BOX BELOW TO INDICATE WHO THE APPLICANT IS
Property Owner’s Name:
Email: Phone:
Address: City, State, Zip:
Certified Arborist’s Name:
***
If you have not had a qualified professional provide a report recommending removal of your tree, please complete the project
description below***
Email: Phone:
Address: City, State, Zip:
Contractor’s Name:
Email: Phone:
Address: City, State, Zip:
WA State Contractor License: Contractor UBI Number:
Site Specific Information
Project Address: Assessor’s Tax Parcel:
Project Description: (please describe why you are requesting removal)
Proposed Tree Species and Caliper Size for Replacement:
Required Si
natures
Property Owner's Signature Printed Name Date
(PLANNING, ENGINEERING & BUILDING SERVICES OFFICE USE ONLY)
REMOVAL STATUS: APPROVED DENIED & REASON:
REVIEWED BY: DATE:
CONDITIONS OF APPROVAL:
STREET TREE REMOVAL APPLICATION
Liberty Lake Planning, Building & Engineering Services
22710 E Country Vista Drive, Liberty Lake, WA 99019
Phone: (509) 755-6726 Fax: (509) 755-6713
Website: www.libertylakewa.gov
Email: permitcenter@libertylakewa.gov
click to sign
signature
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