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Sausalito Marin City SD |  E  3511  Business and Noninstructional Operations

Environmental Maintenance   

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FORM A

SAUSALITO MARIN CITY SCHOOL DISTRICT

Request for Tree Alteration

Applicant's Name:

Phone: Business: Residence:

Address

City, CA Zip

Assessor's Parcel Number

Location of the Tree(s)

Please attach a photograph or draw a detailed map showing location of tree(s) in relation to applicant's property.

1. Size/height of tree(s):

2. Number of tree(s):

3. Species of tree(s):

4. Specify in detail the alterations you are requesting.

5. Reason for request:

a) Safety/health of tree(s). Specify nature and basis for safety/health concern:

b) Maintain aesthetic qualities of applicant's neighboring property. Specify:

Signature: Date:

Exhibit SAUSALITO MARIN CITY SCHOOL DISTRICT

version: 2010 Sausalito, California