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CITY OF TYBEE ISLAND
BUILDING PERMIT
DATE ISSUED: 05 -9 -2012 PERMIT #: 120270
WORK DESCRIPTION TREE REMOVAL - DEAD TREE
WORK LOCATION 812 BUTLER
OWNER NAME GEORGE &PAT LEIBY
ADDRESS 204 MARIAM PASS
CITY, ST, ZIP MIDDLETOWN MD 21769 -7860
PHONE NUMBER
CONTRACTOR NAME GEORGE &PAT LEIBY
ADDRESS 204 MARIAM PASS
CITY STATE ZIP MIDDLETOWN MD 21769 -7860
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 15.00
PROPERTY IDENTIFICATION #
PROJECT VALUATION $ 0.00
TOTAL BALANCE DUE: $ 15.00
It is understood that if this permit 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 owners should be informed that any alterations to the property must be
approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction
covered by this permit.
This permit must be posted in a conspicuous location in the front of 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 unless
work has begun within six months of the date of issuance.
Signature of Building Inspector or Authorized Agent: ------) — ) .
P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -9539
www.eityoftybee.org
c' ; , 12 — 0 2-70 CITY OF TYBEE ISLAND
.: TREE REMOVAL PERMIT APPLICATION
Address of Property t7 i a ,c_f I,r, y A. i / a ,
Owner's Name I '0 la 0 q a 1- L. e,' ti vi Applicant' s Name jct r tk.k-
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Owner's Address 0ri Igo �,,,iUvril a ., s , .tip of
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Owner's Telephone jOy 3 , s --- 6,5 Applicant's Telephone f
REQUIREMENTS FOR TREE REMOVAL
• Must maintain a density of 3 trees per 4,500 square feet. All trees with a 6" diameter at 4.5 feet above ground count
toward the density count.
• Significant trees may be removed only under certain circumstances and must be replaced inch - for -inch in like
species with minimum 2 -inch diameter trees or be otherwise mitigated. (See reverse side for definition.)
• 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. (If replacement is proposed for
another parcel of land, a plot plan of that parcel is required with the same information notated.)
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EXPLAIN NEED TO REMOVE TREE(S) - t -/-7 e. i' 5 ill rU,dn - 1 g /- tP r0 J zf Q e_ -
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I have reviewed the Tybee Island man.. ►, velopment Code, Article 7, Tree Removal Regulations, and hereby agree to
comply with the provisions thereof. u s i ers and•a Tree Rem va nit Application may require 5 days to ,process.
Owner or Applicant Signatur�s :',2*-- '�� T -e_r_._ 5 Date / il// V---
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Owner or Applicant Printed Name Gx 4 t C j Q A . L e , b (A
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Cite Official
hyi. Permit Fee 1 5 A APPROVED
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Date J 'L r 1..., TOTAL 1 S 1:1 DENIED
MITIGATION PLAN
Mitigation Required? l / 4� pee
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Li YES A. NO