1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Page 1 of 1
STAMP HERE
TREE REMOVAL PERMIT APPLICATION
PROJECT INFORMATION
Property Address:
Residential
Commercial
Resident Name:
Phone:
Resident Email:
Fax:
Contractor Name:
Phone:
Contractor Email: Fax:
TREE REMOVAL DETAILS
COMMERCIAL TREE REMOVAL REQUESTS MUST INCLUDE A SITE LANDSCAPE PLAN
IDENTIFYING THE LOCATION OF TREE(S) TO BE REMOVED AND REPLACEMENT TREE(S)
Number of trees to be removed:
Number of trees to be replaced:
Reason(s) for removal:
Poor Condition
Hazardous
Dead
Other
1. Diameter of Tree:
Species:
5. Diameter of Tree:
Species:
2. Diameter of Tree:
Species:
6. Diameter of Tree:
Species:
3. Diameter of Tree:
Species:
7. Diameter of Tree:
Species:
4. Diameter of Tree:
Species:
8. Diameter of Tree:
Species:
Location of Tree(s):
Front Yard
Rear Yard
Side Yard
Please list associated numbers with
proper locations (ex 1, 6, 8)
Village Right-of-Way Conservancy Area
Identifying characteristics and/or
marker (paint, ribbon, flag, etc.):
APPLICANT SIGNATURE
The Village shall review and render a decision on the application within ten (10) business days from
receipt of a properly completed application. By signing below, the Application acknowledges all fees and
work must be conducted in accordance with Section
13-1 of the Lincolnshire Village code.
Signature:
Date:
Name (Print):
Any tree or grouping of trees six (6) inches or greater may not be removed without a tree removal permit. Tree
trimming does not require a permit, but is recommended to be done by a certified arborist. A permit fee and cash
bonds may be required upon issuance of permit.
Submit the completed application to TreePermit@lincolnshireil.gov
or to the address/fax below.