HomeMy WebLinkAboutItem 06.cNovember 1, 2010
Proposed Action
Staff recommends adoption of the following motion: Move to Approve tree work license
for Reach Tree Inc.
Passage of this motion will result in issuing a tree work license for Reach Tree Inc.
Overview
The City of Lakeville licenses companies that provide tree care (i.e. pruning, removal,
trenching and injections) in the city.
Reach Tree Inc. has submitted an application for a tree work license.
Staff is recommending approval of a tree work license for Reach Tree Inc.
Primary Issues to Consider
• Applicant paid fee and submitted Certificate of Insurance.
• Staff contacted the applicant and verified they are knowledgeable about arbor
practices and proper tree care.
Supporting Information
• Copy of Application for Tree Work License submitted by Reach Tree Inc.
Hennen
APPROVAL OF TREE WORK LICENSE
FOR REACH TREE INC.
Maintenance & Operations Mgr
Item No.
Financial Impact: $ Budgeted: YIN Source:
Related Documents (CIP, ERP, etc.):
Notes:
3. Contact person:
4. Mailing address:
9. Number of vehicles:
APPLICATION FOR TREE WORK LICENSE
CITY OF LAKEVILLE
20195 Holyoke Avenue, Lakeville, MN 55044
Phone: 952.965 -4400
1. Business name: ,r //
2. Phone no: ( &P L) q %[� Ogg
8, Minnesota Tax Identification No. of business
(or Social Security No. if applicant is an individual):
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Fax:
Title: Q W it- e,.r
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ao■ndas, as ii ipead
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Street City Zip
5. Person to be contacted in emergency: . Cj , 4 ,Seit ,Se (C) 3 0 -43)--5331
6. Business ownership: Individual Partnership Corporation
7, Number of employees: List names of employees, partners or officers below:
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let to be used in busine88: t") r (• f (refer., ✓ ✓ �• - •p a �, f1 � {.
11. Will you be using chemical • 1'•:k:,E in any activity related to treatment or disease
'ES NO chr YES. oniatiification by the Agronomy Division of the
as $ appl 0e must be at d.)
Those t
or certify the precis' =ram your husiszsa excluded foam compliausce with tl
'lc coverage requirement for workers' ecoupensation.
halimranor ourripsury mac (NOT am)*
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APPLICATION FOR TREE WORK LICENSE
12. (CONTINUED)
Data of coverage; 3 -- l0 to -- —hi
(
1 am not required to have workers' compensation liability coverage because;
( ) I have no employees covered by the taw,
( ) Other (Specify)
13, Proof of public liability insurance, covering all operations, for the sum of $340,000
combined single limit coverage must be attached.
14. Is your corn any lie sed in any other city? If so, please list:
If not H cd In othe i le nse t he sees 1i t d on
1, the undersigned, hereby certify that the above information, furnished by me, is true and
correct to the best of my knowledge. 1 farther atk owkdge that f have read and
understand the attached "Tree Preservation* are "Sielniarai Isar#"
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Title
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ANNUAL FEE: N25.0
AI Likerser &Ore December 31st
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