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PLANTING

I hereby apply for the permission to plant  tree(s)

Iowa One Call Confirmation # 

Planting Information: 

Height of overhead line  ft.

Distance to intersection, driveway or alley  ft.

Species: 

Distance Between Trees  ft.

Height at Maturity  ft.

Crown Width at Maturity  ft.

Please use a stake to mark desired location for planting. 

REMOVAL

I hereby request the City to remove tree(s)

Removal Information:

Species: 

Size:  ft.

Reason: 

OFFICE USE ONLY

     APPROVED

        I have inspected the property listed on this application and found the (placement or removal) of the street tree to be in compliance with the Tree Ordinance and the              Arboricultural Specifications and Standads of Practice as established by the City of Manchester. 

     DENIED

        I have inspected the property listed on this application and found the (placement or removal) of the street tree to be NOT in compliance with the Tree Ordinance and the Arboricultural Specifications and Standads of Practice as established by the City of Manchester. 

Comments: 

Signature of Street Superintendent, Jason Haight:  Date: