Portland Parks & Recreation Urban Forestry Neighbor Planting Consent Form updated 11/2019 Page 3
Tree Planting & Establishment Agreement
Write in the name of the responsible party for each line below.
I, _________________________ (Permit Holder or Neighbor), agree to purchase and plant the tree(s) listed
above at the planting location listed above.
I, _________________________ (Permit Holder or Neighbor), agree to plant the tree(s) according to the City
of Portland Code Title 11 Tree Planting Specification.
I, _________________________ (Neighbor), agree to replace the tree(s) in kind if the tree(s) dies.
I, _________________________ (Neighbor), agree to the long-term maintenance and care of the tree(s). I will
obtain all necessary permits related to the future maintenance of the tree(s).
Statement of Fact: By signing or initialing, I certify that the facts and information set forth in this application
are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation or
omission of fact (whether intentional or not) in this application or any other required document, as well as any
misleading statement or omission, may be cause for revocation of permit, regardless of how or when
discovered.
Statement of Compliance with City Code: By signing or initialing, I agree to comply with City of Portland
Code Title 11. I understand that submitting an application does not entitle me to a permit, and I must have the
permit in hand before beginning any work. Failure to obtain a permit or violating the terms of a permit may
result in civil penalties of up to $1,000 per violation per City Code Title 11. I agree to hold harmless the City of
Portland, its agents, officers, and employees for any damage or injury caused by reason of planting,
placement, maintenance, or removal of trees.
Statement of Intent to Plant and Establish Trees: By signing or initialing, I understand that replanting is a
condition of a tree removal permit. I agree to meet the City of Portland’s street tree planting standards
(www.portlandoregon.gov/trees/treeplanting
). I understand that I am responsible for the successful
establishment of the replanted trees.
Permit Holder Name:__________________ Permit Holder Signature:___________________ Date:_______
Neighbor Name:______________________ Neighbor Signature:______________________ Date:_______
Neighbor must be the owner of the property where the trees will be planted
Submit completed form to your assigned Tree Inspector or
by mail to: Portland Parks & Recreation Urban Forestry, 1900 SW 4th Ave. Suite 5000, Portland, OR 97201
in person: at the Development Services Center (DSC), 1900 SW 4th Ave. 1st Floor
Don’t forget to call the Oregon Utility Locate Hotline (811) before digging a hole to plant your tree!
For additional tree planting and establishment information and standards visit:
www.portlandoregon.gov/trees/treeplanting.