Tree Removal Permit Application

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1 (804) 438-6230 info@irvingtonva.gov
PO Box 174, Irvington, VA 22480

Town of Irvington, Virginia, Code of Ordinances PERFORMANCE STANDARDS as defined in Sec. §154.153 (B)(2)(a); Existing trees over six inches in diameter at breast height (DBH) shall be preserved outside the construction footprint. Diseased trees or trees weakened by age, storm, fire or other injury may be removed when approved by the Zoning Administrator.

Applicant Name

First

Last

Applicant's Phone Number

Applicant's Email

You will receive a confirmation and copy of this form after submitting.

Property Location

Address Line 1

City

State

Zip Code

Are you the Property Owner?

Tax Map Parcel Number

Zoning Classification

Tree Location(s)

Checkboxes

North
East
South
West

Side of State Road #

Example: Route 200

Nearest Cross Street

Example: The Lane

Agreement Confirmation

By checking this box and typing my name below, I am electronically signing this application and agree that all the information provided above is accurate and true to the best of my knowledge.

Authorized Signer