HomeMy WebLinkAboutBrodziak Tree Removal.pdf Department of Community Development
75 South Frontage Road
k.'71TOWN OF UAIL a Vail,CO 81657
tel: 970479-2138
www.vailgov.com
Application for Wildland Fire Mitigation
Tree Removal
General Information: This approval is granted for the removal of trees evaluated through the Vail Fire
Wildland Fire Assessment . This form must be signed by a Town of Vail authorized representative who has
inspected and marked the tree(s). Trees not determined to be a wildfire or public safety hazard require
approval of the Design Review Board or Community Development Administrator.
Fee: Waived
Description of the Request: - tout„I oC Tr- V- 5?Ac-
Tree Species (removal): 1-0 epVe Number of trees:
Tree Species (removal): Sas, a 1 p►Ne_ -C, r Number of trees: 1
General Location of Tree(s) on Property: 5r3,54 5r,,, 5;3e ,4 lQv4e -6.,r4.,ti.' 1-1at IS1Z
Comments: ` reeS C -e-5 e
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Ph sical Address: A `"4 0Co f c fl L�C Y e( I
Property Owner: r 1 iL 2J
Mailing Address: Saute_
Phone: '7k 7 aOwner's Signature: -,k
Primary Contact!O e Re esentative:
Fire Department E ation Date: 717l} I
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For Office Use Only:
TOV Authorized Signature: —
Vail Fire—Wildland Fire
Jan 2018