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STATE OF FLORIDA <br />INDIAN RIV COUNTY <br />THIS IS T TIFY THAT THIS IS TRUE AND CORRECT <br />COPY ORIGINAL ONFILEI THISOFFICE. <br />BY 7 D.C. <br />C. Person or Company to be responsible for tree removal: DATE <br />Name: MWI Corporation <br />Address: 33 NW 2nd Street <br />Deerfield Beach, FL 33441 <br />Phone: 772-770-0004 Email: marcb@mwipuml2s.com <br />D. Method of debris removal (check appropriate method] <br />X _ Debris to be removed to approved disposal facility. <br />Debris to be burned with an air curtain incinerator in accordance with an Indian River Environmental <br />Health Department permit. <br />E. Date the removal is proposed to begin: Upon Approval (Est. Nov 2020) <br />Date the removal is proposed to be complete: Nov. 2020 <br />THE APPLICATION MUST BE SIGNED BY THE PERSON WHO DESIRES TO UNDERTAKE THE PROPOSED <br />ACTIVITY, HOWEVER, THE APPLICATION MAY BE SIGNED BY A DULY AUTHORIZED AGENT IF <br />ACCOMPANIED BY A STATEMENT BY THAT PERSON DESIGNATING THE AGENT AND AGREEING TO FURNISH <br />UPON REQUEST, SUPPLEMENT INFORMATION IN SUPPORT OF THE APPLICATION. <br />I, the undersigned, do hereby certify that I am familiar with Chapter 927 (Tree Protection and Land Clearing) of the Land <br />Development Regulations of Indian River County and that the information contained within this application, to the best of my <br />knowledge and belief, is true complete and accurate. I agree to provide any additional information/data that may be necessary to <br />fully process this application. I also agree to provide entry to the project site for inspectors from the Indian River County <br />Planning and Development Division of an authorized agent for Indian River County Planning and Development Division for the <br />purposed of allowing preliminary analysis of the site and for any subsequent monitoring of the project as may be required. I <br />further certify that I possess the authority to undertake the proposed activities. <br />Signature of Applicant Date <br />The following information is required for application completeness. Please check that the attachments are submitted to ensure <br />prompt processing of your application. <br />x Location Map <br />x Tree Survey and/or Aerial Required Information is included with AA submittal. <br />x Deed of Ownership <br />TREE REMOVAL PERMIT FEE (cash, or check payable to "Indian River County'q: <br />• INDIVIDUAL SINGLE-FAMILY LOT OR PARCEL: $50.00 <br />• SITE PLAN, SUBDIVISION (INCLUDING AFFIDAVIT OF EXEMPTION), <br />OR PLANNED DEVELOPMENT PROJECT: $200.00 <br />*** PLEASE BE ADVISED THAT THERE IS A 3-4 WEEK PROCESSING TIME <br />ON ALL TREE REMOVAL PERMITS*** <br />OFFICE USE <br />Application Complete: <br />Date <br />Initials <br />1801 27th Street, Vero Beach, FL 32960 <br />F:\Community Development\APPLICATIONS\Env, Planning applications\TREE REMOVAL APP updated March 2017.doc Page 2 of 4 <br />