DATE:______________________

REQUEST FOR TREE REMOVAL OR TRIMMING ON CITY PROPERTY RIGHT OF WAY  Trees are removed or trimmed in the winter months only.

NAME OF PROPERTY OWNER:(ADJACENT TO CITY RIGHT OF WAY):

_______________________________________________________________

ADDRESS:________________________________________________________

HOME PHONE: __________________WORK PHONE:_______________

EXACT LOCATION OF TREE:_________________________________________

CHOOSE ONE: _____ REMOVAL OF TREE(STUMP NOT REMOVED)

                           _____TREE TRIMMED

VARIETY OF TREE:__________________________________________

THE CITY OF STORM LAKE WILL NOT REMOVE OR TRIM TREES LOCATED ON PRIVATE PROPERTY. THE CITY OF STORM LAKE WILL NOT REMOVE A TREE IF IT IS HEALTHY.

I,___________________________, THE OWNER OF THE PROPERTY IMMEDIATELY ADJACENT TO THE CITY RIGHT OF WAY ON WHICH THE TREE IS LOCATED, AM REQUESTING THE CITY OF STORM LAKE TO REMOVE OR TRIM THIS TREE. IF THE TREE IS REMOVED, I UNDERSTAND I MUST REMOVE THE STUMP AND THE CITY OF STORM LAKE WILL NOT BE RESPONSIBLE FOR REMOVAL OF THE STUMP.

SIGN HERE:_________________________________________________

PLEASE RETURN THIS FORM TO CITY HALL, BOX 1086, STORM LAKE, IA 50588   ATTN. TREE REMOVAL

Date Received___________

 

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