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OWNERNAME.
ADDRESS
CITY, ST, ZIP
PHONE NUMBER
M01401r ■' Ml
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEE S CI-IARGED
PROPERTY IDENTIFICATION#
N"I 15111111111111MAMILIN
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CITY OF TYBEE ISLAND
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REMOVE XPINE "TREES
203 FIFTH AVE A
DONNA MEACHAM SMITH
PO BOX 1069
TYBEE ISLAND GA 31328
HERRINGTON TREE SERVICE INC
1019 PERRY COVE
SAVANNAH GA 31410
P
$ 50.00
4-0004-13-0108
WMADWOMOM M.
TOTAL BALANCE DUE: $ 50.00
It is understood that if this permil. is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire, soil
and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including all
environmental laws and regulations when applicable, subsequent owavi's should be informed that any alterations to the property must be
approved by the issus nee of another bui Idi ng permit. Permit holder agrees to hold the City ofTybee Island harmless can any construction
covered by this permit.
This permit must be posted in a conspicuous location in the front ol'building and protected from the weather. If this permit is not posted work
will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided mdes.4
work has begun within six months of the (Late of issuance.
Signature of Building Inspector or Authorized Agent:
P. 01. Box 2749 - 403 Butter Avenue,T),bee Wand, Georgia 31328
(912) 786-4573 - FAX (912) 786-9539
ww""City0ftybee.org
CITY OF TYBEE ISLAND
TREE ItEMOVAL PERMIT APPLICATION
Telephone: (912) 786-4573 • Fax: (912) 786-9539 Ll -666 q- 13 e
Address of Property
Ownei's Name""
Applicant's Name
'EX) AA A- -S'
Owner's Address X1-
A icant's Address
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Owner's Telephone ) "t 7
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Applicant's Telephone 4-11("XII,
REQUIREMENTS FOR TREE REMOVAL
• A density of trees per 4,500 square feet is required. All trees with a 6 inch diameter at 4.5 feet above the ground
count toward the density.
• Significant trees must be replaced inch-for-inch in like species with minimum 2-inch diameter trees or be otherwise
mitigated.
* By accepting the Tree Removal Permit, the property owner and the applicant agree to comply with all requirements
of the tree ordinance including mitigation requirements, planting specifications and tree survival requirements.
APPLICATION REQUIREMENTS
,Scaled plot plan showing location, size and species of all trees on the lot which have a diameter of 6 inches or
more at 4.5 feet above ground, all existing improvements, all proposed improvements, and property setbacks.
Mark all trees proposed for removal.
Mark the planting location, size and species for all proposed replacement trees.
Explain the species of tree(s), the reason for removal, and the location of the tree(s)
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I have reviewed the Tybee Island Land Developme n Cade, Article 7, Tree Removal Regulations, a rh
comply with the provisions, th4"reof'.-", ride I ' l l r 1 1 sta'ad,4 permit application may require 5 business days t op rocess.
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Owner or Applicant Sig e Date
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Owner or Applicant Printed 'Name rlv\
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