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2. Property Owner Name*

   Tree permits are only authorized to the property owner or person/business entity legally responsible for the subject tree. By submitting this permit I am certifying that I am the property owner where the subject tree is located, or otherwise legally responsible for the subject tree.

4. Email Address*
   Decisions and correspondence will be sent to your email address.
5. Phone Number*
   Please provide your preferred telephone number.
6. Property Address*
   I am certifying that I am the legal property owner of this address.
8. Is the tree/trees proposed for removal included in a project that is, or will be, part of a Development, Planning, or Building Permit?*
   -- Select One --YesNo
9. If Yes, please enter the permit #:
11. Has the property ever been subjected to tree preservation or mitigation requirements? If so, describe:
13. Were these requirements conditions of a previous permit or otherwise required by the City?*
    -- Select One --YesNo
14. If Yes, describe:
16. Tree Species*
    -- Select One --Blue OakCalifornia BayCalifornia BuckeyeCalifornia SycamoreCoast Live OakValley OakOther

    Please select the variety of your tree.
    *Note the following tree species are not protected and do not require a permit: Eucalyptus, Acacia, Monterey Pine, Palm, Privet, unless such tree has been specifically designated a “Heritage Tree” by action of the Planning Commission.
17. Tree Size*
    Provide the diameter of your tree (in inches) at breast height (DBH). If your tree is a multiple trunk tree, provide the diameter of all stems measured at 54" above ground.
18. Heritage Tree*
    -- Select One --YESNO

    To your knowledge has your tree been designated as a Heritage Tree by the Planning Commission of the City of Concord?
20. Letter of Intent*
    Provide a statement on the specific reasons for the proposed tree removal.
22. Location Plan*
    Provide a plan showing the location of the tree to be removed and the quantity and species of trees to be planted in exchange for removal of a protected tree.
24. Photograph 1
    Image 1 of subject tree
25. Photograph 2
    Image 2 of subject tree
26. Photograph 3
    Image 3 of subject tree
28. Arborist Report*
    Provide a written narrative from an I.S.A Certified Arborist that includes the following: Arborist name, certification number and company letterhead; the common and scientific name of the tree species; size of tree diameter, height, and crown spread; tree condition in terms of foliage, vigor, and structural integrity; prognosis and life expectancy; location diagram including photos.
30. Electronic Signature*

    1. I agree

    By checking I agree and acknowledge this electronic signature is valid and binding in the same force and effect as a handwritten signature.
32. Review Procedure
    Upon receipt of all required information the application will be reviewed by the City Arborist. Staff may request additional information from the applicant or Arborist, and a site visit may be required. If the prognosis is deemed urgent or is a life/safety emergency, the City Arborist or designated City staff person has the discretion to approve or modify this process as needed.
34. Questions
    Questions regarding the process for obtaining a permit to remove protected trees may be directed to the City Arborist Tyce Dekker at (925) 671-3064. Please allow up to five (5) business days to receive a return response.
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39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

* indicates a required field