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NAME: PHONE: ADDRESS: EMAIL: BLVD WIDTH: Acknowledge the following requirements by initialing next to each statement. I am a full-time resident of the residence requested. I agree to pay 50% of the current market value of the tree. I understand that trees will be planted in spring or fall. Planting location is on a city right-of-way (boulevard). Prior to planting, I will notify the City if I have boulevard irrigation lines. I agree to properly fill the water bag for the first 3 years. I will notify the City if I plan to move within the first 3 years. TREE SPECIES Please circle your desired species: Large growing spaces (Blvd. > Bur Oak Accolade Elm Horse Chestnut Medium growing spaces (Blvd. > Redmond Linden Paper Birch Quaking Aspen Small growing spaces (Blvd. Fruitless Crabapple Imperial Honey locust Serviceberry SIGNATURE: ---PAGE BREAK--- Homeowner Name: Homeowner Mailing Address: Adopt-a-Tree Program Invoice Tree Species Quantity Market Value Homeowner Cost Total Due: Site Review Date: Location of Tree: Review Completed by: Projected Planting Date: The City of Whitefish is not responsible for damage to irrigation lines if installed without the necessary permits, or if staff are not notified of irrigation lines prior to planting. Accepted forms of payment include cash, visa, mastercard and check made payable to the City of Whitefish Payment can be submitted in-person, by mail or over-the-phone with customer service at (406) 863 2400, option 1 Monday to Friday 8:00am – 5:00pm City of Whitefish 418 E 2nd St PO Box 158 Whitefish, MT 59937