Dead, Diseased, Dying Tree Removal Application

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Homeowner Name*

First Last

Property Address*

Street Address Address Line 2 City State ZIP Code

Homeowner Phone*

Homeowner Email*

Primary Contact or Owners Representative

First Last

Email for Primary Contact or Owners Representative

Phone for Primary Contact or Owners Representative

Mailing Address for Primary Contact or Owners Representative

Street Address Address Line 2 City State ZIP Code

Zone 1 (0 – 5 Feet from house)

Zone 1 Number of Trees

Zone 1 Species of Tree

Zone 2 (5 – 30 feet from house)

Zone 2 Number of Trees

Zone 2 Species of Tree

Zone 3 (30 – 100 feet from house)

Zone 3 Number of Trees

Zone 3 Species of Tree

Upload pictures of trees to be removed for Wildfire Mitigation

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 500 MB, Max. files: 10.

Hidden

Upload proof of neighbor notification (certified mail receipt)

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 256 MB.

Upload proof of neighbor notification (certified mail receipt)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 500 MB, Max. files: 10.

Signature

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Yes

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