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DUE DATE: Charge: $60.00 Received by: Date received: CHIPPER REQUEST Address: Location of branches: Name: Phone Number: THE FOLLOWING IS THE POLICY ESTABLISHED BY THE CITY OF JEROME REGARDING CHIPPER SERVICE: A NON-REFUNDABLE FEE OF $20.00 IS CHARGED FOR THIS SERVICE 1. REMOVED trees measuring more than six inches in diameter at the base of the tree will NOT be accepted for chipping. 2. Trees removed by a contractor will NOT be accepted for chipping. 3. Limbs and brush more than three inches in diameter will not be accepted for chipping. 4. Limbs must be placed with butt ends to street or alley and within six feet of the street or alley to be accessible to the city crews. 5. All branches must be piled in one area. 6. City crews will chip branches/tree limbs as workloads permit and subject to the availability of appropriate equipment. I HAVE READ AND AM AWARE OF THE POLICY REGARDING THE PUBLIC WORKS DEPARTMENT CHIPPER. Signature: