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2. 
3. Chipper Services Agreement

   Department of Public Services

   Robert DeBruyn, Director
   586-445-5470

5. Name of Person Requesting Service*
6. Email Address*
8. Address where Chipping is Requested*
10. City*
11. State*
12. Zip Code*
14. Phone Number*
16. Mailing Address (If Different than Service Address above)
18. City
19. State
20. Zip Code
22. Removal of Brush/Branches with Chipper Agreement

    This service is for the benefit and convenience of Roseville residents, home and property owners.  Consideration will also be given to Roseville Service Clubs, Schools, and Churches located in the City of Roseville.  This service will NOT be provided to private contractors or tree service companies.

    1.  FEES:  $75 per Service Visit for owner occupied property • $125 per service visit for non-owner-occupied property.

    2. Not more than 2 (two) service visits per 12-month period. 

    3. Chipper service not to exceed 30 minutes (travel time to and from not included).

    4. The chipper will take up to 8” in diameter limbs. Any larger limbs are the responsibility of the property owner to dispose. Root balls, stumps, building materials, and lumber are NOT ACCEPTED • To expedite service please place branches on the Right of Way in an orderly fashion with all cut ends pointing in the same direction. 

    Any larger pieces and/or stumps must be disposed of by the owner.  (Try: Uni-Dig | 21600 Quinn Road | Clinton Township, MI | 586-791-4010).

24. Limit of Work Time

    1. Please check this box if you desire only one (1) Hour of Service even if the job has NOT been completed.
28. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    I understand this agreement and will abide by the stated provisions and charges.

    1. I agree.
30. Electronic Signature*
31. Date*
    Date
35. Forestry Crew to Complete
37. Parcel Number
39. Arrival Time
40. Departure Time
42. Total Time on Job
44. DPW Employee Names
46. Employee Comments
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field