HomeMy WebLinkAboutApplication TREE EVALUATION APPLICATION
Community and Economic Development
City of Arlington• 18204 59'h Avenue 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 ILA. 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 inspector will be able to identify the tree(s)in question
Property Owner Name:
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Location of tree(s):
To be completed by the applicant
Street Tree or Quantity Tree Species/Name Mitigation in-lieu Replant or Mitigate
Significant Tree
Fr R $ L Cr w
Total $
hereby certify that I am the owner of record of this property described above, and that I approve of the action(s) requested
rein. I also herebygrant the City or the City's Agent permission to visit the property to inspect the tree(s)that are covered by
this application. l--/�__
Property Owner's Signature(required): Date:
To be completed by the City Inspector
Tree Ranking Tree Type Tree Status Removal Approved Replacement Right of Way Permit Required
0 Significant 0 Coniferz 0 Hazard/Danger 0 Yes O No O 1:1 0 3:1 O Yes O No
13 Non-Significant 0 Deciduous' O Non-Hazard
0 Street Tree
Additional Requirements:
Inspector Signature: Date:
Total Number of trees to be removed:
Quantity Tree Species/Name DBH(in) Notes
'Deciduous Trees lose their leaves and become dormant during the winter.
2 Conifer is a type of tree that produces cones and evergreen needles.