Harbour

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Required fields are marked with asterisks (*)

Moving Permit

Application Fee

$1,000.00 - security deposit is to be presented to the Municipal Office. $750.00 of the said fee may be refunded after the Public Works Manager and/or his designate has carried out an onsite inspection and approval has been granted for the refund. All other applicable permits and/or approvals must be obtained by the applicant.

Application is hereby made to:

Date of move

Map of route

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Description and location of Property A

(property that object is moving from)

Street address

Municipality

Assessment Roll Number

Description and location of Property B

(property that object is moving to)

Street address

Municipality

Assessment Roll Number

Applicant Information

It is understood that all works will be constructed, altered, maintained and/or operated at the owner's expense and that no work shall commence until a permit has been issued. The issuance of this permit does not relieve the holder of the responsibility to comply with Municipal by-laws.

In consideration of this Application, I/we hereby agree to observe and comply with regulations set forth in this permit and save harmless the Municipality from all costs, charges, damages and claims whatsoever which may arise from the issuance of this permit.

Date of form completion

Name of applicant

Address

Telephone number

Email address

For Office use only

The personal information collected on this form is collected under the authority of the Municipal Act and will be used by the Municipality of Northern Bruce Peninsula for the purpose of responding to your application. Questions regarding the collection of personal information should be addressed to the Municipal Clerk at 56 Lindsay Road 5, Lion's Head, ON N0H 1W0 or by telephone at (519) 793-3522 ext. 236.