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2. Instructions
   1. Fill out this form as completely as possible.
   2. Submit a sketch of landscape location and include curb, sidwalks, driveways, property lines, utilities, dimensions.
   3. Attach photographs of work area if at all possible.
4. Landscape Location Sketch*
5. Work Area Photos
7. Address of Worksite
9. City
10. State
11. Zip Code
13. Owner's Name
14. Phone Number
16. Contractor's Name
17. Phone Number
19. Address of Contractor
21. City
22. State
23. Zip Code
27. Material to be Planted or Removed
29. Size
30. Scientific Name
31. Common Name
41. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
43. Owner Electronic Signature
44. Date
    Date
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field