5845 SW 68 ST_GREEN TREE t
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CITY OF SOUTH MIAMI
Planning&Zoning Department
City Hall, 6130 Sunset Drive, South Miami, Florida 33143
Phone: 305.663.6326 or 6347;Fax: 305.666.4591
APPLLCATION FOR TREE REMOVAL
Project Address: 4Z,8 rh .5-r, Mi AgIvami,Florida
Property Owner: C -E• `( or jOVN tupTti Phone:
Address: 6 J{"(
Work To Be Performed By(check one): Contractor Owner/Builder
Contractor: 10 Phone:
Address:
This application is for the removal of(be specific):
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Use of property(check one): Commercial Residential
Signature of Contractor/Qualifier 7si e of Pro Owner
Notary:
Two copies of a site plan and/or tree survey.must be included.
Depending on the type of tree(s),the fee for a tree removal permit is$40.00.
This permit may be approved with conditions, limitations, and/or restrictions.
......... ..................................
Tree survey or site plan must be attached (2 copies).
PLANNING & ZONING DEPARTMENTAL APPROVAL YES NO
Does this application involve a Natural Forest Community?
Does this application involve protected and/or specimen trees?
Has this application been incomplete for 120 days or more?
Effecti ve Expiration Approved?
Date: Date: If yes, by:
Conditions, limitations, restrictions, if any: