EXHIBIT C

   CITY OF GREENVILLE, OHIO

   TREE PLANTING PERMIT

Date:____________________________            Application Number:__________________

This is to certify that   _______________________________   Property Owner

         Name                  Yes_____   No ____

         ______________________________      ____________________

         Mailing Address            Phone No.

Location of Problem:   ___________________________________________________________

Applicant has registered with the City Engineer for the purpose of:

   _______      Planting of tree in right-of-way.*

            Number and type of tree(s) to be planted:_______________________

            Method of planting:___________________________________________

   _______   Maintenance of tree in the right-of-way. Kind of treatment: spray, prune, trim

            Number and type of tree(s):___________________________________

            Any chemicals to be used:_____________________________________

   _______   Removal of tree in right-of-way and the replanting of a new replacement tree in the right-of-way.*

            Number and type of tree(s) to be removed:________________________

            Number and type of tree(s) to replace:____________________________

   ________      Other.

Reason for request   ___________________________________________________________

*   This application must be accompanied by a plat drawn to scale showing the location of proposed planting within the right-of-way, making sure to show the distances from each tree, sidewalk, street, and any street corner.

Note: Applicant assumes any and all liability for loss or damages resulting from the maintenance or removal of said tree(s). Replacement trees must be planted within six (6) months from the date the Tree Commission or Safety Service Director grants approval of the permit.

                              _____________________________________

                              Signature of Applicant

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   DISPOSITION - TO BE COMPLETED BY TREE COMMISSION MEMBERS
         OR SAFETY SERVICE DIRECTOR

   ___ Approve   ___ Disapprove   _____ City participation

Date of Approval: ____________   Date work is to be completed: ______________________

Inspected By:   _____________________________      Date:   ________________________

Comments on Decision:   ______________________________________________________

_______________________________________________________________________________

(Ord. 11-56. Passed 6-7-11; Ord. 18-77. Passed 7-17-18.)