Permit Application Step 1

Step 1 - Applicant Information

Please provide details for the owner of the property. This information is required even when the application is being made by an agent acting for the owner.

Required fields are marked with an asterisk (*)

Owner details

Salutation

First Name *

Last Name *

Business Name (if application is by an organization)

Street Address *

City *

Province *

Postal Code *

Email Address *

Retype Email Address *

Phone (Residential/Mobile) *

Phone (Business)

Ext.

Fax

Provide Agent details. Select this item to fill out additional information for a consultant or contractor working on the owner's behalf, if applicable.

Agent details

Agent First Name *

Agent Last Name *

Agent Business Name *

Agent Email Address *

Agent Street Address *

Agent City *

Agent Province *

Agent Postal Code *

Agent Phone (Business) *

Ext.

Agent Fax Number

I confirm that I am the owner of this property or the owner knows I am applying on their behalf.

Notice of Collection

Pursuant to section 29 (2) of the Municipal Freedom of Information and Protection of Individual Privacy Act, R.S.O. 1990, c. M.56 the personal information contained on this form is collected under the legal authority of the Conservation Authorities Act., R.S.O. 1990, c.27, and is used for the purposes of invoicing, record keeping, and follow-up communication. Questions about the collection of personal information should be directed to the Freedom of Information Coordinator, Grand River Conservation Authority, 400 Clyde Road, P.O. Box 729, Cambridge, Ontario, N1R 5W6, (519) 621-2761.