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CITY OF TYBEE ISLAND
TREE REMOVAL PERMIT APPLICATION
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Address of Property /ll3 e s Ilienii ,6
Owner's Name it# e, / /14reif
Applicant's Name k--e„, ,,1 J2 'y�?ip4—
Owner's Address 10 �- j�,� ,,y y ,
Applicant's Address �,% f - 3--m % .
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Owner's Telephone lid, ` 6�3 o O
Applicant's Telephone
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REQUIREMENTS FOR TREE REMOVAL
• Mus 2_I 2_' ;t. All trees with a 6" diameter at 4.5 feet above ground count
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• Sig! ^4 : a circumstances and must be replaced inch - for -inch in Iike
spe( 5-44.(e. r z4 rwise mitigated. (See reverse side for definition.)
• By � N A-c4. ;.„ owner and the applicant agree to comply with all requirements
oft Y / v / . 1 Q ke_n , its, planting specifications and tree survival requirements.
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[ REQUIREMENTS
s of all trees on the lot which have a diameter of 6 inches or
ments, all proposed improvements, and property setbacks.
11 proposed replacement trees. (If replacement is proposed for
•equired with the same information notated.)
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EXPL 2- S
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I have reviewed the Tybee Island Land Development Code, Article 7, Tree Removal Regulations, and hereby agree to
comply with the provisions thereof. I understand , ' it, /R , oval Permit Application may require 5 days to process.
Owner or Applicant Signature ,,i�ss-;rtfi� /���.�% P Date ,/,..l.. -- "-- //
Owner or Applicant Printed Name
City Official �. 1i141S(
Date I ?l � 1/r '' J
Permit Fee
Palms Up
TOTAL
❑ APPROVED
❑ DENIED
X Mi igation Required?
YES ❑ NO
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City of . Jee Island • Community Develop_ _ant Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tyree Island, GP. 31328
Phone 912.786.4573 ext. 114 • Fax 912.786,9539
INTERNATIONAL
CODECOUNCIC
MEMBER
Permit No. j I Y ,r =r C; Date Requested I 'Z/ I I
II f Date Needed 1 I
Gen. Contractor C i _� = Subcontractor
Owner's Name IV\ G F';,' -7.
Contact Information
Project Address
Scope of Wo k
Inspector
Date of Inspection
inspection {- j°,� t- � _ j Pass Fai • Fee
Inspection \— 017 (
Inspection
Pass
Pass
Fa Fee
Fail ❑ Fee
Inspection Pass Fail ❑ Fee
permit No.
City of Tybee Island • Community Development Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
Phone 912.786.4573 ext. 114 , Fax 9? 2.786.9539
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Owner's Name �' Oer
Silo
Gen. Contractor Si o t c? I27\24-)
Contact Information
Project Address
Scope of Work
Inspector
Inspection
Date Requested
Date Needed
Subcontractor
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INTERNATIONAL
CODE CDUNClL`
MEMBER
7
Date of Inspection
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Q. i_ YE N - 6 ar,,
Inspection , r o `(Y.12 C Pass Fail Fe .._- \a 0 ❑ ❑ �f
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Fee
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Inspection Pass ❑ Fail ❑ Fee
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City of 1 ,.,ee Island • Community Develop._ _. nt Dept.
Inspection Report
403 butler Ave. • P.O. Box 2749 Bybee Islands GA 31328
Phone 912.286.4573 ext. 114 Fax 912.786.9539
Permit No. f /- () ` -/3 Date Requested
Owner's Name ��;C�r Date Needed
i
//Jr/L.. den. Contractor `�{-�j7 Subcontractor
fact Information
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Project Address ! / 16-- JC7 /JrLS
Scope of Work
Inspector Date of Inspection
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INTERNATONAL
CODE COUNCIL
MEMBER
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