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HomeMy WebLinkAboutOak_895_PA-2013-01935 4 CI'T'Y F SHLAND February 13, 2014 Notice of Final Decision On February 13, 2014, the Community Development Director approved the request for the following: Planning Action: 2013-01935 Subject Property: 895 Oak Street Applicant: Stephen Kish Description: Request approval to permit the removal of a hazardous, multi-stemmed Box Elder tree at the rear of the property. The tree had large "stems" that fell and the remaining "stems" were dead and removed prior to this application. The tree is within the floodplain and Water Resource Protection Zone thus requiring a permit and mitigation. COMPREHENSIVE PLAN DESIGNATION: Single Family Residential; ZONING: R-1-5; ASSESSOR'S MAP: 39 lE 04BD; TAX LOTS: 1301 The Community Development Director's decision becomes final and is effective on the 13'' day after the Notice of Final Decision is mailed. Approval is valid for a period of one year and all conditions of approval identified on the attached Findings are required to be met prior to project completion. The application, all associated documents and evidence submitted, and the applicable criteria are available for review at the Ashland Community Development Department, located at 51 Winburn Way. Copies of file documents can be requested and are charged based on the City of Ashland copy fee schedule. Prior to the final decision date, anyone who was mailed this Notice of Final Decision may request a reconsideration of the action as set forth in the Ashland Land Use Ordinance (ALUO) 18.108.070(B)(2)(b) and/or file an appeal to the Ashland Planning Commission as provided in ALUO 1,8.108.070(B)(2)(c). The ALUO sections covering reconsideration and appeal procedures are attached. The appeal may not be made directly to the Oregon Land Use Board of Appeals. If you have any questions regarding this decision, please contact Amy Gunter in the Community Development Department at (541) 488-5305. cc: Parties of record and property owners within 200 ft COMMUNITY DEVELOPMENT DEPARTMENT Tel: 541488-5305 51 Winbum Way Fax: 541-552-2050 Ashland, Oregon 97520 TTY: 800-735-2900 www.ashland.or.us 3, ASHLAND PLANNING DIVISION FINDINGS & ORDERS PLANNING ACTION: PA-2013-01935 SUBJECT PROPERTY. 895 Oak Street OWNER/APPLICANT: Kish DESCRIPTION: Request approval to permit the removal of a hazardous, multi-stemmed Box Elder tree at the rear of the property. The tree had large "stems" that fell and the remaining "stems" were dead and removed prior to this application. The tree is within the floodplain and Water Resource Protection Zone thus requiring a permit and mitigation. COMPREHENSIVE PLAN DESIGNATION: Single Family Residential; ZONING: R-1-5; ASSESSOR'S MAP: 39 1E 04BD; TAX LOTS: 1301 SUBMITTAL DATE: December 26, 2013 DEEMED COMPLETE DATE: January 2, 2014 STAFF DECISION DATE: February 13, 2014 FINAL DECISION DATE: February 26, 2014 APPROVAL EXPIRATION DATE: February 26, 2015 DECISION The subject property is located on the east side of Oak Street. The parcel is zoned R-1-5, approximately .91 of an acre or 39,639 square feet, slopes to east at approximately nine percent, and has Ashland Creek running through the rear of the property. Oak Street is improved with curbs and gutters along the property's frontage. The application is to remove a large, hazardous, multi-stemmed Box elder tree that was significantly leaning over Ashland Creek. Large stems had fallen across the creels and the remaining portions of the tree were dead. This application is post-mortem as the tree has already been removed. The applicant has indicated they will mitigate the tree removal by planting a new tree. I The new planting will be required to be selected from the Water Resource Protection Zone approved plant list. Evidence of the type and date of planting shall be provided to the City of Ashland within 180 days of approval of the request to remove. Removal of the Box elder will not have a negative impact on erosion, soil stability; or flow of surface waters due to the remaining root structure currently holds a significant amount of bank in place. Nor will removal have a negative impact on the tree densities, sizes, canopies, and species diversity since there are numerous tree species established along the stream corridor. Therefore, staff believes that the tree removal request meets the criteria of the ordinance and is approved to be removed following the conditions below. The criteria for a Tree Removal Permit are described in AMC Chapter. 18.61.080, as follows: An applicantfor° a Tree Removal Permit shall demonstrate that the following criteria are satisfied. The Staff Advisor may require an arborist's report to substantiate the criteria for a permit. A. Hazard Tree: The Staff Advisor shall issue a tree removal permit for a hazard tree if the applicant demonstrates PA 2013-01935 895 Oak Street/adg Page 1 AFFIDAVIT OF MAILING STATE OF OREGON ) County of Jackson ) The undersigned being first duly sworn states that: 1. 1 am employed by the City of Ashland, 20 East Main Street, Ashland, Oregon 97520, in the Community Development Department. 2. On February 13, 2014 1 caused to be mailed, by regular mail, in a sealed envelope with postage fully prepaid, a copy of the attached planning action notice to each person listed on the attached mailing list at such addresses as set forth on this list under each person's name for Planning Action #2013-01935, 895 Oak Street. Signature of Employee v_. i j i G:IComm-devlplanninglTemplateslTEMPLATE-Affidavit of Mailing-Planning Action No6ce,dot 2/13/2014 ~i A1d3AV-09-008-L r ~vidn-dod paogaa al aalanaa 1uswa6aeg3 ( @09 LS ®Aa3AV 11aege6 al zasnan worAim-mmm ap uge amy'eq el g zelldall ap sues i eased a salpe¢ sananblq PA-2013-01935 391E04BD 1304 PA-2013-01935 391E04BD 2005 PA-2013-01935 391E04AC 4500 AUSTBO KIRK W/ANGELA BARBER CAMPAGNA JESS A/SARA E COSTER GRANT JAY/COSTER LINDA 905 OAK ST 670 HEI MAN ST 910 OAK ST ASHLAND, OR 97520 ASHLAND, OR 97520 ASHLAND, OR 97520 PA-2013-01935 391E04BD 2400 PA-2013-01935 391E04BD 1303 PA-2013-01935 391E04BD 2006 DALEY THOMAS W/SUSAN L DOWNEY SEAN M ENGELHARDT J/DIANE WILLIAMS 610 HEI MAN ST 915 OAK ST 656 HEI MAN ST ASHLAND, OR 97520 ASHLAND, OR 97520 ASHLAND, OR 97520 PA-2013-01935 391E04BD 2500 PA-2013-01935 391E04AC 4800 PA-2013-01935 391E04BD 1300 FIELDS JOHN ROBERT TRUSTEE ET GOLDEN CATHERINE M GOLDEN JEFFREY S 845 OAK ST 886 OAK ST P O BOX 1232 ASHLAND, OR 97520 ASHLAND, OR 97520 ASHLAND, OR 97520 PA-2013-01935 391E04BD 1305 PA-2013-01935 391E04BD 1301 PA-2013-01935 391E04CA 3100 HEGLIE, JEFFREY/M ELKOVICH KISH FAMILY TRUST ET AL NORMAN JULIE KAY 919 OAK ST 895 OAK ST 596 HELMAN ASHLAND, OR 97520 ASHLAND, OR 97520 ASHLAND, OR 97520 PA-2013-01935 391E04CA 200 PA-2013-01935 391E04CA 2901 PA-2013-01935 391E04BD 1302 NORTHCUTT JACK D/BETTY A PASCHEN GERHARD ET AL QUACCIA ROBERT J/JANET B 1340 E MAIN 865 OAK ST 885 OAK ST ASHLAND, OR 97520 ASHLAND, OR 97520 ASHLAND, OR 97520 PA-2013-01935 391E04BD 2600 PA-2013-01935 391E04BD 2200 PA-2013-01935 391E04AC 4700 REYNOLDS JOHN R. TRUSTEE SCHEER JOHN/SHEPARDSON LAURA SCHLIESMAN PAMELA 505 HELMAN HC 3 BOX 6780 900 OAK ST ASHLAND, OR 97520 RINCON, PR 00677 ASHLAND, OR 97520 PA-2013-01935 391E04BD 2700 PA-2013-01935 391E04BD 1400 PA-2013-01935 391E04BD 2300 SCHOOL DISTRICT 5 SHULTERS SUSAN M SLYTER HOWARD M TRUSTEE ET AL 885 SISKIYOU BLVD 632 HELMAN ST 3621 E E CURTIS DR ASHLAND, OR 97520 ASHLAND, OR 97520 SACRAMENTO, CA 95818 PA-2013-01935 391E04BD 1401 PA-2013-01935 39IE04BD 2100 PA-2013-01935 391E04BD 2007 SNOW D REBECCA ET AL STOUT PROPERTIES LLC STREET GLENN/BARBARA C PO BOX 337 215 LAUREL ST 642 HEIMAN ASHLAND, OR 97520 MEDFORD, OR 97501 ASHLAND, OR 97520 24 895 Oak St 2-13-14 NOD P w1a5p3 do-dod asodxa jaded paad r 009LS aleldwaJ ®fuaAV asn ki-00817GAUMV I of aull 6uole puae 1 i s a as Ilse R um of I qel d 3 IP d 3 Planning Department, 51 Win6,,r.t Way, Ashland, Oregon 97520 I F 541-488-5305 Fax: 541-552-2050 www.ashland.orms TTY: 1-800-735-2900 NOTICE OF APPLICATION PLANNING ACTION: 2013-01935 SUBJECT PROPERTY: 895 Oak Street OWNER/APPLICANT: Stephen Kish DESCRIPTION: Request approval to permit the removal of a hazardous, multi-stemmed Box Elder tree at the rear of the property. The tree had large "stems" that fell and the remaining "stems" were dead and removed prior to this application. The tree is within the floodplain and Water Resource Protection Zone thus requiring a permit and mitigation. COMPREHENSIVE PLAN DESIGNATION: Single Family Residential; ZONING: R-1-5; ASSESSOR'S MAP: 39 lE 04BD; TAX LOTS: 1301. i NOTICE OF COMPLETE APPLICATION: January 8, 2014 DEADLINE FOR SUBMISSION OF WRITTEN COMMENTS: January 22, 2014 c _J 71 I - I 1 _ -J L_ ~ (f .rem L Y~ I J w 1 S i 8 5 UBJECT O04<S R OET 39 Ir 8D 11 t 1 ~L Ir'y ~s-1 p C ~i ti 1 f L N 02040 80 Feet r.oya.,y tirvza nraf .rahrartca rr:y, r,or acnianbea The Ashland Planning Division Staff has received a complete application for the property noted above. Any affected property owner or resident has a right to submit written comments to the City of Ashland Planning Division, 51 Winburn Way, Ashland, Oregon 97520 prior to 4:30 p.m. on the deadline date shown above. Ashland Planning Division Staff determine if a Land Use application is complete within 30 days of submittal. Upon determination of completeness, a notice is sent to surrounding properties within 200 feet of the property submitting application which allows for a 14 day comment period. After the comment period and not more than 45 days from the application being deemed complete, the Planning Division Staff shall make a final decision on the application. A notice of decision is mailed to the same properties within 5 days of decision. An appeal to the Planning Commission of the Planning Division Staff's decision must be made in writing to the Ashland Planning Division within 12 days from the date of the mailing of final decision. (AMC 18.108.040) The ordinance criteria applicable to this application are attached to this notice. Oregon law states that failure to raise an objection concerning this application, by letter, or failure to provide sufficient specificity to afford the decision maker an opportunity to respond to the issue, precludes your right of appeal to the Land Use Board of Appeals (LUBA) on that issue. Failure to specify which ordinance criterion the objection is based on also precludes your right of appeal to LUBA on that criterion. Failure of the applicant to raise constitutional or other issues relating to proposed conditions of approval with sufficient specificity to allow this Department to respond to the issue precludes an action for damages in circuit court. A copy of the application, all documents and evidence relied upon by the applicant and applicable criteria are available for inspection at no cost and will be provided at reasonable cost, if requested. All materials are available at the Ashland Planning Division, Community Development & Engineering Services Building, 51 Winburn Way, Ashland, Oregon 97520. If you have questions or comments concerning this request, please feel free to contact the Ashland Planning Division at 541-488-5305. GAcomm-dev\planning\Planning Actions\Noticing Folder\Malled Notices & Signs\2014\PA-2013-01935.docx TREE REMOVAL 18.61.080 Criteria for Issuance of Tree Re, ,oval - Staff Permit An applicant for a Tree Removal Permit shall demonstrate that the following criteria are satisfied. The Staff Advisor may require an arborist's report to substantiate the criteria for a permit. A. Hazard Tree: The Staff Advisor shall issue a tree removal permit for a hazard tree if the applicant demonstrates that a tree is a hazard and warrants removal. 1. A hazard tree is a tree that is physically damaged to the degree that it is clear that it is likely to fall and injure persons or property. A hazard tree may also include a tree that is located within public rights of way and is causing damage to existing public or private facilities or services and such facilities or services cannot be relocated or the damage alleviated. The applicant must demonstrate that the condition or location of the tree presents a clear public safety hazard or a foreseeable danger of property damage to an existing structure and such hazard or danger cannot reasonably be alleviated by treatment or pruning. 2. The City may require the applicant to mitigate for the removal of each hazard tree pursuant to AMC 18,61.084. Such mitigation requirements shall be a condition of approval of the permit. i B. Tree that is Not a Hazard: The City shall issue a tree removal permit for a tree that is not a hazard if the applicant demonstrates all of the following: 1. The tree is proposed for removal in order to permit the application to be consistent with other applicable Ashland Land Use Ordinance requirements and standards, including but not limited to applicable Site Design and Use Standards and Physical and Environmental Constraints, The Staff Advisor may require the building footprint of the development to be staked to allow for accurate verification of the permit application; and 2. Removal of the tree will not have a significant negative impact on erosion, soil stability, flow of surface waters, protection of adjacent trees, or existing windbreaks; and 3. Removal of the tree will not have a significant negative impact on the tree densities, sizes, canopies, and species diversity within 200 feet of the subject property. The City shall grant an exception to this criterion when alternatives to the tree removal have been considered and no reasonable alternative exists to allow the property to be used as permitted in the zone. Nothing in this section shall require that the residential density be reduced below the permitted density allowed by the zone. In making this determination, the City may consider alternative site plans or placement of structures or alternate landscaping designs that would lessen the impact on trees, so long as the alternatives continue to comply with other provisions of the Ashland Land Use Ordinance. 4. The City shall require the applicant to mitigate for the removal of each tree granted approval pursuant to AMC 18.61.084. Such mitigation requirements shall be a condition of approval of the permit. (ORD 2951, 2008; ORD 2883, 2002) Wcomm-dev\planning\Planning Actions\Noticing FolderWailed Notices R Signs\2014\PA-2013-01935.docx AFFIDAVIT OF MAILING STATE OF OREGON ) County of Jackson ) The undersigned being first duly sworn states that: 1. 1 am employed by the City of Ashland, 20 East Main Street, Ashland, Oregon 97520, in the Community Development Department. 2. On January 8, 2014 1 caused to be mailed, by regular mail, in a sealed envelope with postage fully prepaid, a copy of the attached planning action notice to each person listed on the attached mailing list at such addresses as set forth on this list under each person's name for Planning Action #2013-01935, 895 Oak Street. Signature of Employee Documentt 1/9/2014 PA-2013-01935 391E04BD 1304 PA-2013-01935 391E04BD 2005 PA-2013-01935 391E04AC 4500 AUSTBO KIRK W/ANGELA BARBER CAMPAGNA JESS A/SARA E COSTER GRANT JAY/COSTER LINDA 905 OAK ST 670 HELMAN ST 910 OAK ST ASHLAND, OR 97520 ASHLAND, OR 97520 ASHLAND, OR 97520 PA-2013-01935 391E04BD 2400 PA-2013-01935 391E04BD 1303 PA-2013-01935 391E04BD 2006 DALEY THOMAS W/SUSAN L DOWNEY SEAN M ENGELHARDT J/DIANE WILLIAMS 610 HELMAN ST 915 OAK ST 656 HELMAN ST ASHLAND, OR 97520 ASHLAND, OR 97520 ASHLAND, OR 97520 PA-2013-01935 391E04BD 2500 PA-2013-01935 391E04AC 4800 PA-2013-01935 391E04BD 1300 FIELDS JOHN ROBERT TRUSTEE ET GOLDEN CATHERINE M GOLDEN JEFFREY S 845 OAK ST 886 OAK ST P O BOX 1232 ASHLAND, OR 97520 ASHLAND, OR 97520 ASHLAND, OR 97520 PA-2013-01935 391E04BD 1305 PA-2013-01935 391E04BD 1301 PA-2013-01935 391E04CA 3100 HEGLIE JEFFREY/M ELKOVICH KISH FAMILY TRUST ET AL NORMAN JULIE KAY 919 OAK ST 895 OAK ST 596 HELMAN ASHLAND, OR 97520 ASHLAND, OR 97520 ASHLAND, OR 97520 PA-2013-01935 391E04CA 200 PA-2013-01935 391E04CA 2901 PA-2013-01935 391E04BD 1302 NORTHCUTT JACK DBETTY A PASCHEN GERHARD ET AL QUACCIA ROBERT J/JANET B 1340 E MAIN 865 OAK ST 885 OAK ST ASHLAND, OR 97520 ASHLAND, OR 97520 ASHLAND, OR 97520 PA-2013-01935 391E04BD 2600 PA-2013-01935 391E04BD 2200 PA-2013-01935 391E04AC 4700 REYNOLDS JOHN R TRUSTEE SCHEER JOHN/SHEPARDSON LAURA SCHLIESMAN PAMELA 505 HELMAN HC 3 BOX 6780 900 OAK ST ASHLAND, OR 97520 RINCON, PR 00677 ASHLAND, OR 97520 PA-2013-01935 391E04BD 2700 PA-2013-01935 391E04BD 1400 PA-2013-01935 391E04BD 2300 SCHOOL DISTRICT 5 SHULTERS SUSAN M SLYTER HOWARD M TRUSTEE ET AL 885 SISKIYOU BLVD 632 HELMAN ST 3621 E E CURTIS DR ASHLAND, OR 97520 ASHLAND, OR 97520 SACRAMENTO, CA 95818 PA-2013-01935 391E04BD 1401 PA-2013-01935 39lE04BD 2100 PA-2013-01935 39IE04BD 2007 SNOW D REBECCA ET AL STOUT PROPERTIES LLC STREET GLENN/BARBARA C PO BOX 337 215 LAUREL ST 642 HELMAN ASHLAND, OR 97520 MEDFORD, OR 97501 ASHLAND, OR 97520 j CL INI T~ E{ SCJ r~ r-S ca' I r'7 ra r- r~ a vi a t * c] ra r.] f 64 na ca ya d a ,r,' sn Ls ~ t "I f:" rJ G? r] ~ ( L7 ,r, ra ,gin ~ ~ ry r7 f- qt to rJ c] t ra E 14 r] r] -z-a n n rya : ~ 5 , t`a y r•1 y ty ry ~ c~ {j. ~ ~ r~ t` ' rJ ra a ~ N s j I n4 r-4 n . d p t .-a [ 3 ra if'a s J 5. L~l t, r] : S 3~ .U 2IJ ~ ~ Fb :y Y_] ~ [J it] L~ : y. s -i n ut [7 L?'. n ;ia m ¢i c.a t-. i t c-7 c ua ry r # rn y ra rJ t o rJ i s ~J t~ s r1l ra p za - "4 tn' t' r a ra u3 1-4 r.j 4 v.4 ra r-A n r-t rj , , r? sn rn c] I ' n a +r° t*' to :ci r~ V rt`Y rl u t. cJ P•J [ '-7 u'! i,9 Y- f_"a a rJ n'2. r] ra r_, r- r -~-J r7 ra ti= rj r w4 Va 1~4 r+1 ra W r~ r~j ~ - ra N yE.. M r~ r7: L] 1 m rJ ~ : r+l m : rr ~ ry c7 rJ ar'. 5= . n ~ r7 , • cu u5 4-= r~ LTrl ~ C] ' n"1p +T. IId l~ U] rJ L.] ` Y] c r~ Y r] c] rte, e:.ai u: ~ Tt tsi ~ ul o u~ ry s'a srt r-Y ~t su: r`~ it, c m ` c7 ~i t?2 mj %rsi y us r.,i is: rJ P•] r rah r] n rl Y r] L: I I i I 4 i Application for Permit I'm hereby requesting approval for a permit to remove a dying and hazardous tree located at the rear of my property at 895 Oak Street, in proximity to Ashland Creek, and situated in a dense blackberry growth. The tree in question has a common stump with five trunks emanating from it. Two of the trunks have already fallen, unbalancing the tree, and at least one of the remaining three trunks appears to have died. A large root from the stump has girded the stump and appears to be strangling it. The first trunk to fall fell across the creek to the west and hung up, extending several feet over a neighbor's deck, threatening damage should a snow load or high wind dislodge it. The second trunk snapped at approximately the ten foot level, the top part dangling from its tenuous break point, to hang up approximately six feet over and threatening a path to the creek. Of the remaining three standing trunks, one appears to be dead and is hanging over the same path leading down to the creek from the east, another angles out over the creek to the north, and the last angles out over my adjacent neighbor's property, to the northeast. I propose logging up and removing the fallen trunks and cutting down and removing the remaining dead and dying ones. I propose leaving the stump in place to mitigate erosion concerns. As the stump will remain in a dense blackberry growth, replacement of the tree with another in the immediate area would be unfeasible and disruptive. I propose to plant two replacement trees on the east side of the blackberry growth, approximately twenty five feet away from the creek. In addition, I propose planting a dozen fruit trees of various varieties in the open space between the riparian area and my house. Please find enclosed sketches of the plan and the $28 application fee. Sincerely, Stephen Kish t N, ^A NIJ ply? ~J i i 2 tz ot*g r ~ i NO 5 f 0 C C cD i 0 ZONING PERMIT APPLICATION + Planning Division 51 Winburn Way, Ashland OR 97520 C I T Y o F 541-488-5305 Fax 541-488-6006 FILE # ASHLAND DESCRIPTION OF PROJECT A -1 A 11 0 6 0 7A F~ 1-Y 0 If A DESCRIPTION OF PROPERTY Pursuing LEED® Certification? El YES NO Street Address OAK 5 Assessor's Map No. 39 1 E Tax Lot(s) Zoning Comp Plan Designation APPLICANT Name T Y f16: f > /s /4 Phone 0 r' E-Mail M d/ 06 l /rte 7- 5 Address 1 f J ~ l ~ r 1 city zip. 9 250 PROPERTY OWNER Name S %1=Pljbllf f l ~ Phone J y , E-Mail %ff/~iJ'~ !7 ~'ct)-Sf'1 ~ C°r .Address 04 City A 1-4' P Zip % i Q 171 SURVEYOR, ENGINEER, ARCHITECT, LANDSCAPE ARCHITECT, OTHER Title Name Phone E-Mail Address City Zip Title Name Phone E-Mail Address City Zip 1 hereby certify that the statements and information contained in this application, including the enclosed drawings and the required findings of fact, are in all respects, true and correct. I understand that all property pins must be.shown on the drawings and visible upon the site inspection. In the event the pins are not shown or their location found to be incorrect, the owner assumes full responsibility, t further understand that if this request is subsequently contested, the burden will be on me to . establish; 1) that I produced sufficient factual evidence at the hearing to support this request; 2) that the findings of fact fumished justifies the granting of the request; 3) that the findings of fact furnished by me are adequate; and further 4) that all structures or improvements are properly located on the ground. Failure in this rage 1 suit likely in no o Llyth~ r u s t being set aside, but also possibly in my eing built in reliance thereon being required to be removed at my ex e. 1 a ny doubts, I vi ed o seek competent professional advice and sslstance ZO) Applicant's Sign ture Date As owner of the prope t'vol d 1 this reque jhav dand understood the complete application anconsequences to me as a property owner. -70 Property Owner's Signature (required) Date [To be completed by city Slaft[ Date Received Zoning Permit Type Filing Fee $ OVER 0 GAco=-dev\plenning\Forms & Aandouts\Zoaing Permit Applicatiomdoc Job Address: 895 OAK ST Contractor: ASHLAND OR 97520 Address: C A Owner's Name: STEPHERN/DIANE KISH O Phone: F N State Lie No: ~ Customer 07592 L STEPHERN/DIANE KISH T City Lie No: Applicant: 895 OAK ST R I Address: ASHLAND OR 97520 A C C Sub-Contractor: A Phone: T Address: N Applied: 12/26/2013 0 T Issued: Expires: 06/24/2014 R Phone: State Lie No: Maplot: 391 E04BD1301 L- J City Lie No: DESCRIPTION: Tree Removal - hazardous tree. VALUATION Occupancy Type Construction Units Rate Amt Actual Amt Constuction Description Total for Valuation: MECHANICAL IE- ELECTRICAL STRUCTURAL PERMIT FEE DETAIL Fee Description Amount Fee Description Amount Tree Removal/Verification 28.00 CONDITIONS OF APPROVAL COMMUNITY DEVELOPMENT Tel: 541-488-5305 20 East Main St. Fax: 541-488-5311 Ashland, OR 97520 TTY: 800-735-2900 www.ashland.onus Inspection Request Line: 541-552-2080 CITY F I hereby certify the contents of this application to be correct to the best of my knowledge, and furthermore, that I have read, Fee Summary Paid Amounts understood and agreed to the following: Building: $ 0.00 $ 0.00 1. This permit shall remain valid only in accordance with code State Surcharge: $ 0.00 $ 0.00 or regulation provisions relating to time lapse and revocation Development Fees: $ 0.00 $ 0.00 (180 days). 2. Work shall not proceed past approved inspection stage. All Systems Development Charges: $ 0.00 $ 0.00 required inspections shall be called for 24 hours in advance. Utility Connection Fees: $ 0.00 $ 0.00 3. Any modifications in plans or work shall be reported in advance to the department. Public Works Fees: $ 0.00 $ 0.00 4. Responsibility for complying with all applicable federal, state, Planning Fees: $ 28.00 $ 28.00 or local laws, ordinances, or regulations rests solely with the applicant. Sub-Total: $ 28.00 Fees Paid: $ 28.00 Applicant Date Total Amount Due: $ COMMUNITY DEVELOPMENT Tel: 541-488-5305 20 East Main St. Fax: 541-488-5311 Ashland, OR 97520 TTY: 800-735-2900 www.ashland.ocus Inspection Request Line: 541-552-2080 CITY F