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Application for Entranceway
Breadcrumb
Home
application for entranceway
Applicant Information
Applicant name:
Address
Address:
City/Town:
Province:
Postal code:
Telephone:
Cell:
Email address:
Purpose of application
Purpose of application:
New entrance
Temporary entrance
Alter existing entrance
Alter existing entrance
Change location
Remove
Replace culvert
Culvert extension
Classification
Classification
Residential
Commerical
Agricultural
Entranceway Location
Civic #:
Road name:
City:
Lot:
Con:
Plan number / other description:
Side of road:
North
South
East
West
Located
Located
metres
Direction
North
South
East
West
Location
of
Must be marked by:
Stakes
Paint
Please Note:
The constructor Shall be responsible for obtaining Public Liability and Property Damage Insurance of a minimum $ 2,000,000.00. Shall work in accordance with Occupational Health and Safety Act, "Construction Regulation", also be in accordance with the Township of North Stormont By-Law No. 34-2017 “Construct an Entranceway". The Township will determine if a culvert is required and the size of the culvert. Once installed, the work will be inspected by the Township of North Stormont for a final inspection.
Declaration of Applicant
Signature of applicant:
Sign above
Date:
Please contact the Public Works Office after installation at 613-987-2821.
Signature:
Sign above
Final inspection date: