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2. Purpose

   Please use this form to file a request to the Village of Amityville Department of Public Works for tree trimming, tree removal, or tree replacement.

4. First Name*
5. Last Name*
7. Email Address
9. Daytime Phone*
11. Address*
13. City*
14. State*
15. Zip Code*
17. Is this a Village Tree?*

    Tree must be within 10 feet of the curb to be considered a village tree.

    
    

    1. Yes
    2. No
    3. Unknown
18. Service Requested*
    -- Select One --Stump RemovalTree RemovalTree ReplacementTree Trimming
20. Location of the Tree*

    Include street number and name.

22. Other Comments
24. Attach Picture or File
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field