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HomeMy WebLinkAboutApplicationCITY OF MIAMI PLANNING & ZONING DEPARTMENT 444 S.W. 2ND AVENUE, 3RD FLOOR MIAMI, FLORIDA 33130 TELEPHONE: (305) 416-1400 FAX: (305) 416- 2156 Contact Person Phone/Email: TREE PERMIT APPLICATION V j O FOR DEPARTMENTAL USE ONLY Name ( Owner): 1-4Ar3-t sv°' LAX Address: R >z )—AO 7l6 Sr 1-,1 I 0-1 t "FL., 373 413 Phone: , i'c:>'i all 2 -4 431 Email: cDrt✓ f t) < t <lx77ca - 0.fars, FOR NEW CONSTRUCTION ONLY: Master Process Number: rA.a 1 • oc:cn,�� I -r,!e't-13CSr'r1 Permit Type: Ei New Construction n Non -Construction Boundaries: n Private Property n Public Property Scope of Work: ❑Planting EiRemoval Trimming Relocation Root Pruning Other: ® After -the -Fact ® Completion / Extensions Single/Two-Family Housing n Multi -family / Commercial Folio Number: 1 - 4112 CT CI r-i , 01 GC Property Address (for completion permits, provide a copy of the permit card): 2)9 `t `.a' i..C)c'(,..4 T' AqE AtM s frt. 141 Number of Trees: Work Description (for completion permits, provide reason for expiration): aF Tyr — f �.T rereydr. 1;)) c 1a, e, awl rn i CI I, ni ev, 'Fre `P\oo1 prGLiinifC1 ( 3 f;cws rrCes) Owner/Authorized Agent's name (print): 5%"a'.Owner's signature: (STATE OF FLORIDA) (COUNTY OF MIAMI-DADE) The foregoing instrument was acknowledged before me this IQ day of , 20 /' c, A.D., ersonally appeared before me, an officer authorized to administer oathsnd take acknowledgements, by u i 2 S•" r ..e.. +.1 f3 a,l ()1-- asOwn_erManager/ Authorized Agent of 39 > u4.'- who is personaily known to me or who roduu ced L 0-. `> 4T 3.£ i° C:g as identification. JAA,c-61/4..,44/VL Notary Public, Stateiof Florida INDIANA AGUIRRE Illy COMMISSION # FF 068693 t;XPIF1ES February 9, 2610 Qe d Thru Notary Public linden..Ate Submission of this application does not authorize the removal or alteration of any vegetation. A tree permit must be issued prior to the commencement of any removals, relocations, trimming, root pruning and/or mitigation planting.