Application/Permit for Tree Removal

CAMLEOT FOREST CONSERVATION ASSOCIATION, INC.

No. 050302-A01
Approved: 9/1/05

Application/Permit for
TREE REMOVAL

NAME:_________________________________________________________     DATE: ____________

PROPERTY LOCATION: LOT _______    SECTION ___________
ROAD ____________________________________________________

ADDRESS: __________________________________________________________________________
                  __________________________________________________________________________
PHONE: ___________________________
NUMBER OF TREES TO BE REMOVED: ____________________________
(Please mark the tree(s ) to be removed with tape or ribbon so that they can be identified by our inspector.)
WHY DO YOU WANT THESE TREES REMOVED?:
_______________________________________________________________________________________
_______________________________________________________________________________________
PLEASE DIAGRAM, IN RELATIONSHIP TO YOUR HOME, THE APPROXIMATE LOCATION OF THE
TREE(S) TO BE REMOVED FROM YOUR HOME SITE IN THE SPACE BELOW.

I acknowledge that I have received, read and understand the attached Camelot Forest Association, Inc., Tree Preservation Policy.
Signature ________________________________________________      Date ________________
OFFICE USE ONLY
Approved             Disapproved             Date __________________
Reason/observation ____________________________________________________________________
Signature: _________________________________________________________

No. 050302-A01 Approved: 9/1/05
Application/Permit for TREE REMOVAL
NAME:_________________________________________________________ DATE: ____________
PROPERTY LOCATION:	LOT _______ SECTION ___________ ROAD ____________________________________________________
ADDRESS: __________________________________________________________________________ __________________________________________________________________________ PHONE: ___________________________ NUMBER OF TREES TO BE REMOVED: ____________________________ (Please mark the tree(s ) to be removed with tape or ribbon so that they can be identified by our inspector.) WHY DO YOU WANT THESE TREES REMOVED?: _______________________________________________________________________________________ _______________________________________________________________________________________ PLEASE DIAGRAM, IN RELATIONSHIP TO YOUR HOME, THE APPROXIMATE LOCATION OF THE TREE(S) TO BE REMOVED FROM YOUR HOME SITE IN THE SPACE BELOW. I acknowledge that I have received, read and understand the attached Camelot Forest Association, Inc., Tree Preservation Policy. Signature ________________________________________________ Date ________________ OFFICE USE ONLY Approved Disapproved Date __________________ Reason/observation ____________________________________________________________________ Signature: _________________________________________________________