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CERTIFICATE OF TREE REMOVAL/DISPOSAL <br /> Instructions to eligible property owner. . To be eligible for a grant-in-aid the , <br /> property owner must: <br /> • (1) Obtain two independent estimates from responsible and <br /> qualified tree services for removal and disposal. <br /> (2) Select the lowest responsible and qualified bidder. <br /> (3) Remove the diseased tree within 20 days, of notification of <br /> removal by local authorities. <br /> (4) Submit an invoice or receipt of payment from the contractor <br /> performing the service, <br /> (5) Submit the attached Form AGR 37 verifying date of removal <br /> and compliance with estimate requirement. <br /> Note: If the above eligibility requirements cannot be met, the property owner <br /> must submit a brief justification stating the extenuating circumstances preventing <br /> compliance. The statement will -be reviewed by local authorities. <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> I do hereby certify, that two independent estimates for tree removal/disposal were <br /> obtained from responsible and qualified tree service contractors, and that the lowest <br /> bidder was selected. And further, that the trees claimed eligible for the local and <br /> state subsidies were removed on day of , 19 <br /> (day) (month) <br /> Name: <br /> • Address: <br /> Phone: <br /> Location of 'removed tree: <br /> (Signature) (date) <br /> FOR MUNICIPAL USE ONLY <br /> Number of Trees Removed Local Subsidy $ <br /> Total Cost of Removal/Disposal $ State Subsidy $ <br /> Cost to Property Owner $ <br /> I hereby certify that the above claimed removal/disposal has complied with the Depart- <br /> ment of Agriculture's Regulation Agr 107, or is in as near compliance as practically <br /> possible. <br /> ' Signature of Tree Inspector (date) <br /> Minn. Dept. of Agric. <br /> ORIGINAL-Dept. of Agriculture YELLOW-Property Owner PINK-Municipality 8/75 Form AGR 37 <br />