HomeMy WebLinkAboutHeritage tree nomination form
503-635-0290 380 A AVENUE PO BOX 369 LAKE OSWEGO, OR 97034 WWW.LAKEOSWEGO.CITY
Department of Planning and Building Services
HERITAGE TREE NOMINATION FORM
Person nominating tree: Property owner (if different):
Name Name
Address Address
Phone (day) Phone (day)
Email Email
Signature of property owner giving approval of nomination Date
TREE DESCRIPTION
1. Check one: Single tree Stand of trees If stand, how many: _
2. Species of tree (common or scientific name):
3. Age (approx.):
4. Location (street address):
5. Size of tree: Height (approx.) ft.
Average crown spread ft.
(On the ground, measure from the outer edge of the canopy on one side of the tree to the
outer edge of the canopy on the opposite side.)
Circumference ft. in.
(Measure around the main trunk four and a half feet above the ground.)
6. Is the tree on public or private property? _
7. Use the space below to provide a description or sketch of the approximate location of the tree on the site.
8. Please explain noteworthy physical features (size, species, etc.) that make the tree worthy of Heritage Tree
status.
9. Please explain any historical facts or significance associated with the tree.
10. Please describe the health of the tree. Are there any structural, health, or pruning problems associated with
it?
11. Please attach a photograph of the tree to the nomination form.
Return completed application forms to:
Department of Planning and Building Services Attn:
Heritage Trees
380 A Avenue
Post Office Box 369
Lake Oswego, OR 97034 planning@lakeoswego.city
For more information about Lake Oswego’s Heritage Tree Program, please contact the Department of Planning
and Building Services at (503) 635-0290, or visit our website at http://www.ci.oswego.or.us/planning/heritage-
tree-program