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2. 
4. Please complete this form if you wish to request the planting of a tree on the right-of-way adjacent to your property
6. Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Email Address*
14. Phone Number*
18. Proposed Address*
20. City*
21. State*
22. Zip Code*
24. Reason for Tree Planting:
26. Powerlines*

    1. Yes

    1. No
28. Preferred Native Tree (Live Oak, Paradise Tree, Gumbo Limbo, Satinleaf, etc.)
30. After requests are submitted

    Once your request is received, staff will inspect the site to determine suitability for planting. If approved, a tree will be allocated on the next annual round of planting, pending availability.

32. Interested in tree giveaway during Earth Day Celebration *

    1. Yes

    1. No
34. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
36. Electronic Signature*
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field