Owner details

Please enter the owner's first name.
Please enter the owner's last name.
(if application is by an organization)
Please enter the owner's street address.
Please enter the owner's city.
Please enter the owner's postal code.
Please enter the owner's email address.
Email addresses do not match.
Please enter the owner's phone number.
Please enter the owner's business phone number.

Agent details

Please enter the agent's first name.
Please enter the agent's last name.
Please enter the agent's business name.
Please enter the agent's email address.
Please enter the agent's street address.
Please enter the agent's city.
Please enter the agent's postal code.
Please enter the agent's phone number.
You must confirm that you are the owner or have the owner's permission.
  

Notice of Collection

Pursuant to section 29 (2) of the Municipal Freedom of Information and Protection of 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.