Required fields are marked with asterisks (*)

Encroachment Agreement Application

* Notice of Collection: The personal information you provide on this form is being collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act. The information you provide will be used to process your request for service and may be used for contact purposes. Questions about this collection should be directed to the Freedom of Information Coordinator at 705-635-2272.

First Name

Last Name

Multiple applicants

Yes

Street Number and Street Name

PO Box / RR# / Apt

Town/City

Postal / Zip Code

Phone Number

Email Address

Submitted herewith is the following

Seasonal (summer) pictures of road allowance

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Site plan

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Is the applicant appointing an agent?

Yes