Tree Planting Request Form

I hereby request that the Borough of Dormont Stormwater Authority plant a tree on the public right-of-way adjacent to my property in an appropriate, pre-approved location. Check all boxes below to submit. I hereby request that the Borough of Dormont Stormwater Authority plant a tree on the public right-of-way adjacent to my property in an appropriate, pre-approved location. Check all boxes below to submit. I hereby certify that I am the owner of the above mentioned property. I hereby request the Borough of Dormont Stormwater Authority to supply and install a tree to be located on the municipal right-of-way adjacent to my property. I understand that there is no charge for this service. I agree to perform general upkeep of the tree planting bed by weeding, mulching, and providing water for establishment and during drought periods for a two (2) year period. I also understand that this request does not guarantee that a tree will be placed adjacent to my property.

Property Owner

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Today's Date (MM/DD/YYYY)

Email Address