Application For Subdivision Approval (Page 2 of 2) in pdf

existiNg BuildiNg oN tHe lANd to Be suBdivided:

describe any buildings, historical or otherwise and any structures on the land and whether they are to be demolished or moved:

_______________________________________________________________________________________________________________

WAter ANd seWer serviCes

if the propsed subdivision is to be served by other than a water distribution system and a wastewater collection system, describe the

manner of providing water and sewage disposal. ______________________________________________________________________

_______________________________________________________________________________________________________________

registered oWNer or PersoN ACtiNg oN His /Her BeHAlf:

i _____________________________________________ hereby certify that

___________ i am the registered owner or ___________ i am authorized to act on behalf of the registered owner.

and that the information given on this form is full and complete and is, to the best of my knowledge, a true statement of the fact

relating to this application for subdivision approval.

Address _______________________________________________________________________________________________________

signed ________________________________________________________________________________________________________

Phone No. _____________________________________________________________________________________________________

date __________________________________________________________________________________________________________

rigHt of eNtrY

i hereby authorize the Md of foothills No. 31 to enter my land for the purpose of conducting a site inspection in connection with my

application for subdivision approval.

this right is granted pursuant to sec. 43 (1) (a) and 5 (d) of the Planning Act.

_______________________________________________________________

owner’s signature

tHis seCtioN for offiCiAl use

decision ______________________________________________________

the reasons for refusal or conditions of approval are attached.

date ______________________________________ signed ____________________________________________________________

(Authorized Officer of Approving Authority)

**ImporTanT noTe: applications must be received with original signed signature. photocopies, faxes and emails will not be accepted.

disClAiMer: Please note that the personal information collected on this form is authorized under the Municipal government Act and is required for

the purpose of the Md’s Planning and development processes. this information may also be shared with appropriate government agencies and may

also be kept on file by those agencies. The application and related file contents will become available to the public and are subject to the provisions

of the freedom of information and Protection of Privacy Act (foiP). if you have any questions about the collection and use of this information, please

contact the Md Municipal Planner at 403-652-2341.

Application For Subdivision Approval Page 2

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