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Public Works Permits

Please ensure all fields of the form are completed accurately.

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Purpose

To pay for Permits by Debit Visa or credit card. If you have any questions regarding this form, please contact Public Works.

Notice of Collection

Personal information contained on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, c. 25 and will be used for the purposes of administering your request. Questions about this collection should be directed to the Supervisor of Information Services.

Permit No. (if applicable)

Amount to be paid

Name

Street (# and name)

Town

Postal Code

Work Location (if different than address above)

Work being done: