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TREE EVALUATION APPLICATION
Community and Economic Development
City of Arlington• 18204 591hAvenue NE•Arlington,WA 98223•Phone(360)403 3551
When a significant tree is removed,the requirement for replanting or mitigation is 3:1.The fee
to mitigate instead of replanting is$150.00 per tree x 3 trees=$450.00
When a street tree is removed the requirement for replanting or mitigation is 1:1. The fee to
mitigate instead of replanting is$1,030 per tree
Complete and return to the city for determination
Please flag the tree(s)so the
the insppector will be able to identify the tree(s)in question
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Property Owner Name: VP ►1 Ay , �►'14►- 4—
Project Address/Location: )-q �j e 1 h A v A n e, yV
Email Address: yyis;14r—t f63p4 4, YAW( X-oM Phone: S��Z yLIL
Location of tree(s): ���M e 4S Gl�off z
To be completed by the applicant
Street Tree or Quantity Tree Species/Name Mitigation in-lieu Replant or Mitigate
Significant IK2e
V 00U 45 'i` Y $ V
Total $
I hereby certify that I am the owner of record of this property described above, and that I approve of the action(s) requested
herein.I also hereby grant the City or the City's Agent permission to visit the property to inspect the tree(s) that are covered by
this application.
Property Owner's Signature(required): Date: ��22_ 2 D
To be completed by the City Inspector
Tree Ranking Tree Type Tree Status Removal Approved Replacement Right of Way Permit Required
O Significant O Coniferz O Hazard/Danger O Yes 13 No O 1:1 13 3:1 D Yes 13 No
O Non-Significant 0 Deciduous' 11 Non-Hazard
O Street Tree
Additional Requirements:
Inspector Signature: Date:
Total Number of trees to be removed:
Quantity Tree Species/Name DBH(in) Notes {
1
'Deciduous Trees lose their leaves and become dormant during the winter.
2 Conifer is a type of tree that produces cones and evergreen needles.