Shade Tree Permit Mulch Your Tree(s) and Water During Dry ...

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BOARD OF SUPERVISORS Hanover Township

Print Form

Northampton County

3630 Jacksonville Road Bethlehem, Pennsylvania 18017-9302 610.866.1140

Fax 610.758.9116

Shade Tree Permit Application Date:

Reason for Permit: Replace Missing or Dead Tree(s)

Number of Trees

If you need to explain the location of tree(s), please draw a sketch on the back of this page or provide separate sheet. Remove Live Tree - Must Be Approved by Hanover Township Board of Supervisors Reason:

Tree(s) must be replaced. You must select tree(s) from the Hanover Township Approved Shade Tree List. Tree(s) must be at least 2 inches in diameter and measure 4 feet above ground. Please List Variety of Replacement Tree(s):

Property Owner's Name:

Phone (Home):

Property Address:

Phone (Work):

Mailing Address: Signature:

Mulch Your Tree(s) and Water During Dry Spells Best Planting Seasons April 1st thru June 30th September 1st thru November 30th

For Office Use Only Approved By: Date Approved: Replacement tree(s) must be planted by

(One year from Application Date)