Required fields are marked with asterisks (*)

Entrance Permit Application

Registered Owner(s)

Contact Numbers

Address

Email address

Copy of Approved Entrance Permit to be received by

Pick-up

E-mail

Mail

Fax

Type of property entrance is for

Residential

Agricultural (at discretion of Road Authority)

Is this property subject to a Development Application under the Planning Act

Entrance is located at (include: Lot, Concession, Street Name)

Could the entrance be made via another road?

Yes

Roll Number

Civic Address (if applicable)

Please note that the contractor completing the work for this application will need to fill out the following portion of the form.

Contractors Contact information

Is this application part of a new build application?

Yes

Is a Conservation Permit required?

Yes

Please attach a copy of the legal survey and/or site plan.

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Please attach a copy of the deed.

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Please attach a sketch showing the location of the proposed entrance and other landmarks that should be noted. (Include measurements)

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