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Application for Community Improvement Plan

Application is hereby made to:

The Township of West Lincoln
318 Canborough Street
P.O. Box 400, Smithville
Ontario L0R 2A0
planning@westlincoln.ca

The undersigned hereby requests the Council of the Corporation of the Township of West Lincoln to consider this Community improvement Plan Application as it affects the lands and/or premises hereinafter described to the extent and upon the terms and conditions set forth in this Application, including Appendices hereto.

Section 1 - Applicant Information

Who is the primary contact for this application?

Registered owner of the property subject to the application

Applicant/agent representing the registered owner

Name(s)

Phone Number

Email Address

Mailing Address

Statement of Understanding

I confirm that I understand that as the applicant for this document and, for the purposes of the Municipal Freedom of Information and Protection of Privacy Act, my information will be collected under the authority of the Planning Act. I consent to the use or disclosure of the information provided to any person or public body for the purpose of processing this application.

Applicant Signature

Clear