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Entrance Permit / Curb Cut / Ditch Tiling

This application is for Curb Cut/Entranceway Permit/Ditch Tiling

Name:

Email:

Telephone:

Mailing Address:

City/Town:

Postal Code:

Install an entranceway at:

Lot:

Plan:

Roll Number: 2627

Please upload your plans or maps:

One file only.
32 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Or, you can upload an image of your plans or maps:

One file only.
32 MB limit.
Allowed types: gif, jpg, png, svg.

Type Requested:

Curb Cut (CURBC)

Culvert (CE)

Ditch Tiling (DTD)

Meters (m):

Length (m):

Diameter (mm):

Length:

Diameter:

Classification:

Residential

Commercial

Farm

Industrial

I hereby agree to maintain the entranceway in accordance with the requirements of By-law 5380-22. I understand that issuance of an entranceway permit does not obligate the Corporation of the Town of Niagara-on-the-Lake to supply any service which did not exist at the time of the issuance of the permit.

Sign above

Date of Signature:

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