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Revised: 10/2016 \\File\com\Parks and Recreation\Bin\David Schott\Application for Permit to Remove.docx Application for Permit to: Remove Trees or Shrubs in the Public Right-of-Way Today’s date: Name: Home phone: Alternate phone: Email address: Address where work will be performed: Mailing address (if different from Who will perform the removal? Will above individual perform this work for a fee? [ ] YES [ ] NO According to Moscow City Code (Title 5, Chapter 8, Section 9-E-3): “Whenever a public tree or shrub is removed, as a condition of issuance of a permit for removal, the applicant shall replace the tree or shrub removed…” Be sure to call 811 at least two working days before you dig. Visit www.digline.com for more information. Name of Plant Being Removed Reason for Removing Replacement Plant (Please use other side or attach additional sheets if more space is needed.) Comments: Property Owner’s Signature Return completed form to the Hamilton Indoor Recreation Center, 1724 East F Street, or mail to: Moscow Parks and Recreation, P.O. Box 9203, Moscow, ID 83843. Call (208) 883-7084 for questions. Please do not write below this line – office use only. [ ] Granted [ ] Denied Permit number: Permit Expires: Administrator’s Signature Date Comments: