Application for Permit - Tree Removal/Alteration

Town of View Royal

Application for Permit — Tree Removal/Alteration

Site Address: 25 STONERIDGE DR, VIEW ROYAL Name of Applicant: RAJ GOYAL Phone Number of Applicant: [blank] Email: [blank] Address of Applicant: 25 Stoneridge Dr, View Royal Name of Owner (if different from above): same Phone Number of Owner: [blank] Email: [blank] Address of Owner: 25 Stoneridge Dr, View Royal Nature of proposed construction, if applicable: N/A Related Permit(s) if applicable: N/A Type and number of tree(s) proposed to be removed: Garry Oak - 1 May be 2

Diameter of tree(s) proposed to be removed (determined by dividing the circumference of the trunk, measured at 1.2 m above the ground, by 3.142): 0.28m

Type of proposed replacement trees: Per View Royal standards Planted one apple and 2 berry trees and one Grape and one Goose Tree Total => 5 Trees.

Tree Protection Bylaw No. 695, 2009

Reason for removal (please circle the one item below that best describes your situation)

1. Too close to foundation
2. Too close to garage
3. Dead or dying
4. Unattractive
5. Too large for size of property
6. Blocking sunlight
7. Attracting wildlife
8. Causing sidewalk problems
9. Leaves causing problems

10. Blocking site access
11. Affecting house value
12. Hazardous (Circled)
13. Interfering with utility wires
14. Interfering with water/sewer/drains
15. Interfering with view
16. Other ___________________

Supplementary documents may be required in support of this application and may include:

• a copy of a State of Title Certificate, or a copy of a Certificate of Indefeasible Title, dated no more than thirty (30) days prior to submission of the application
• a report prepared by an I.S.A. Certified Arborist, at the applicant's expense.

As owner or owner's agent, I have verified that the information contained within this document and associated applications and plans is correct. I acknowledge that responsibility for bylaw compliance rests with the owner and the owner's employees, agents and contractors. I will indemnify and save harmless the Town of View Royal, its officials, employees and agents against claims, liabilities and expenses of every kind, in respect of anything done or not done pursuant to this application or fact sheet or ensuing permit, including negligence and/or failure to observe all bylaws, conditions, acts or regulations.

Signed at View Royal, BC this 4 day of Feb. year 2015