Additional Dwelling Application Form - Thompson-Nicola Regional District
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1
2Thompson-Nicola Regional District
#300 – 465 Victoria Street, Kamloos, BC V2C 2A9
Telephone: (250) 377-8673, Toll Free: 1-877-377-8673
Fax: (250) 372-5048, Email:
planning@tnrd.ca
Website:
ADDITIONAL DWELLING APPLICATION FORM
FOR OFFICE USE ONLY
Date Received : __________________
TNRD File No.: _______________
Note: The processing of your application will be delayed if the application is incomplete. Please consult the
attached guide for a complete description of the required information for your application.
Personal information is collected by the TNRD under the authority of the Local Government Act and/or TNRD's bylaws and is only used for
purpose of processing your
application.
Disclosure of personal information by TNRD is subject to the requirements of the Freedom of
Information and Protection of Privacy Act. If you have any questions about collection, use or disclosure of personal information by TNRD,
please contact: Manager of Legislative Services, TNRD, 300-465 Victoria Street, Kamloops, BC, V2C 2A9, 250 377-8673.
APPLICATION TYPE
Additional Dwelling for Agricultural or Horticultural Use
OWNER INFORMATION
Name(s):
Mailing Address:
Phone:
Cell:
Email:
Fax:
APPLICANT / AGENT INFORMATION
(if different from owner)
Name:
Mailing Address:
Phone:
Cell:
Email:
Fax:
AUTHORIZATION OF AGENT BY OWNER
__________________________________
I/We,
, the registered owner(s) of the noted property hereby
__________________________________
authorize
to act on my (our) behalf as agent in respect of this
application.
X
X
Signature of Owner
Signature of Owner
___/___/___
___/___/___
dd mm yy
dd mm yy
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