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Property Owners Permission to Plant

& Care For a Street Tree


I, __________________________________, give my permission to have a tree planted in front of my house or
property in the parkway between the sidewalk and the street.
I understand that the City of Los Angeles will have to approve the type of tree and its exact placement.
I understand I will be required to water and care for the tree for a period of 5 years after it is planted.
I understand I will be required to comply with the newly planted tree information sheet that will be provided
to me after the tree is planted.
I understand that the City of Los Angeles will be responsible for tree trimming.

Signature:__________________________________________________________________
Print Name:________________________________________________________________
Date:______________________________________________________________________
Tree location circle one:

( Front

Side

Rear )

Street Address: _____________________________________________________________


Zip Code: _____________________________
Phone: ________________________________

PLEASE FAX DIRECTLY TO URBAN FORESTRY DIVISION (213) 847-0158


Please check one:
Property Owner
Property Manager
Tenant
Name of property owner, if different from person signing this form:

_____________________________________________________________________________
Address of property owner:

____________________________________________________________________________

S:/FactSheets/Prop.Owner Perm.

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