6121 SW 68 ST_GREEN TREE n <. 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
APPLICATION FOR TREE REMOVAL
Project Address: ti 1.21 x,10, G'*`8 &10 r-5,-hav 1 041--f° South Miami,Florida
Property Owner v�A 0-9amia Phone: -5e,5' �� 6,:31q
Address:
Work To Be Performed By(check one): Contractor Owner/Builder e"
Contractor: Phone:
Address:
This application is for the removal of(be specific): re m u o k e510 Na Y►a b - -re--e-,
1 en S r�� �-�P[c.t 4 rokind c4 -ate A +er 6--knot o u
Use of property(check ne): Commercial Residential
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gna a of Contractor/Qualifier Si ature of P Owner
otary: 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.
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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?
Effective Expiration Approved?
Date: Date: If yes, by:
Conditions, limitations, restrictions, if any: