Gabriele Edwards, City Forester, Parks and Recreation Department   gabriele.edwards@cityofames.org   515-239-5342

Date of Application

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MM/DD/YYYY:

Contact

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Contact

First Name:	Last Name:
Owner's Email:	Phone:ext.
Address:	City:
State:(Select State) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Zip Code:

Tree Type and Quantity

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Enter each specific type followed by the quantity of that type:(ie Scarlet oak - 2 trees)

Description of Property and Area to be Planted

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Enter as much detail to best describe location:

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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