Application for Permit - Tree Removal/Alteration (Schedule 'B')

April 19, 2016Pages 26–294 sections

Permit application form submitted by Holly Cairns for the removal of one tree.

Received: Jan 18 2016Applicant: Holly CairnsReason: Too close to foundation and Hazardous

Schedule "B"

Application for Permit Pursuant to Section 14

Town of View Royal Application for Permit – Tree Removal/Alteration

Please complete the following to help us process your application. This includes the written information on the front of this form and a sketch of the property where indicated. (If more room is required, please attach additional pages to this application form).

Form section showing site address and name of applicant

Site Address: 566 Prince Robert Drive
Name of Applicant: Holly Cairns

Form section showing applicant address, owner details, and construction nature

Address of Applicant: 566 Prince Robert Drive
Name of Owner (if different from above): N/A
Phone Number of Owner: N/A
Email of Owner: N/A
Address of Owner: Same
Nature of proposed construction, if applicable: N/A

Form section showing related permits and tree removal details

Related Permit(s) if applicable: N/A
Type and number of tree(s) proposed to be removed: one removal; one prune to improve structure & reduce windsail.
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): 77.3 cm for tree to be removed
Type of proposed replacement trees: TBD if necessary

Page 26–29

Tree Protection Bylaw No. 695, 2009

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

Form section for "Reason for removal" with item 1 circled

Too close to foundation (Circled)
Too close to garage
Dead or dying
Unattractive
Too large for size of property
Blocking sunlight
Attracting wildlife
Causing sidewalk problems
Leaves causing problems
Blocking site access
Affecting house value
Hazardous (Circled)
Interfering with utility wires
Interfering with water/sewer/drains
Interfering with view
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 18 day of Jany year 2016

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Tree Protection Bylaw No. 695, 2009

Property Sketch

Site Address: 566 Prince Robert Drive

Your property sketch must include:

The dimensions of the property and location of the street(s)
The location of the house and other buildings on the property
The exact location and type of trees that you wish to remove
The planting location and type of replacement tree
The location and types of all other trees on the property
The type and location of proposed construction activities, including accesses, if applicable

(Note in sketch area: "see attached.")

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