COMPLETED THE PAGE 2 BELOW?     Please enter previous information used in PAGE 2

Email Address CONTACT - Telephone # (cell)

CLICK TO Go to the cover page pg1. (UNDER CONSTRUCTION)            ABOVE Information

PLEASE NOTE: Below the line is PAGE 2 of the ACTUAL government FORM - Once each page is filled out.You will be taken to the other pages. Thank you for your understanding.


PAGE 2

SUBDIVISION OF LAND MUST FILL OUT                                                       Section 2.0 only

DETAILS OF APPLICATION

A. The Applicant

1. SURNAME

2. FIRST NAME

3. MAILING ADDRESS

4. CONTACT - Telephone # (cell)       other

                             Email Address

(Please tick appropriate)

5. Interest of the land /building to the applicant:

    Owner .             Lessee .             Tenant .             Prospective Purchaser .             Agent .

B The Property Owner2:

If applicant is NOT the owner of the property please state the following Owner details:

1. NAME

2. ADDRESS

3. CONTACT - Telephone # (cell)       other

                             Email Address


C The Property i.e. Land or Building:
`

1. LOCATION:

(a) Name of Municipality Click to select from LIST
(Regional Corporation/ Borough Corporation / City Corporation)

(b) Name of City, Town or Village

(c)Street Name

(d) Lot number

(e)County Click to select from LIST

(f) Ward

SUBMIT FORM            FORM

2 NOTE: Proof of ownership or evidence of notification to owner that present application is being made may be required.


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