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Check Boxes of appropriate parkway tree locations.
Name of Company
If other chemical was used please enter chemical name and brand here
Treatment of parkway tree does not ensure that the Village of Buffalo Grove will not remove tree if the Village deems the tree unhealthy or a danger to the public.
Please note that contractors must be licensed by the State to apply pesticides. Contractors should provide a copy of their current Pesticide Applicator or Operator License.
By submitting this form, the applicant acknowledges the Village's rights regarding this tree, including maintaining and removing it if deemed necessary.
Please contact the EAB Project Manager with any questions at (847) 459-2545 or email at email@example.com
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