6240 SW 69 ST_GREEN TREE 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:: � 7`d sa) 69' S South Miami, Florida
G' � �t �7,
Property Owner: � 1 Phone:
Address: :� p c _ Fl-
Work To Be Performed By (check one): Contractor Owner/Builder
Contractor: �C��,��e,(� �i �-� ._ Phone:(31a ��-7���
Address: J2-2 H, 6Le , o`er, UL, -3 J/ 3 y
This application is for the "emoval of(be specific):
ii
Use of property (check one): Commercial Residential
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Contractor/Quali e �, ����;�_srf Signature of Property Owner E
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Notary: ' Notary: '
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Two copies of a si a pl and/or tree survey must be included.
Depending on the type f 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).
F NG &ZONING DEPARTMENTAL APPROVAL YES NO 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: �� �3 Date: 8 2 D�j If yes, by:
Conditions limitatio , re tractions, if any: 'W IA Q�"C
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CITY OF SOUTH MIAMI
CODS EMORCEMENT DIMION
6930 SUNSET DE,SOLMHWANk FL 33143
PH., 303.662.7333 FAX:305.666.7336
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NAME:P.UFl!& RX IWV 19STMONT OROUP�,
ADDRESS:62629W 728TREET,SUM 401
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CITY OF SOUTH MIAMI
CODE ENTORCEMEN7 DMSION
6130 SUNSET DIL,SOUTH MIANO,FL 33143
PH, 305.662.7335 FAX:395.663.7356
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