Second Dwelling Application Form - Abbotsford Planning & Development Services Page 5
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5SECOND DWELLING APPLICATION FORM
Page 5 of 5
8. ACKNOWLEDGEMENT OF NOTICE OF COLLECTION OF PERSONAL
INFORMATION
I/We have attached to this Second Dwelling application all of the attachments required as noted within this form, along
with the required application fee, and hereby agree to submit further information deemed necessary for processing this
application.
☐ I/We understand that for each occasion on which I/We initiate an Administrative Change to this application, an
Administrative Change Fee of $300 is payable at the time the change is filed. This includes, but is not limited to:
changing the property(ies) involved; changing the Applicant or Primary Contact; or changing/revising/adding an
application type(s) and/or sub-type(s) (unless as a subsequent application).
Personal information collected on this form is collected for the purpose of processing this application and for
administration and enforcement. The personal information is collected under the authority of the Local Government Act,
the City's bylaws and Section 26 of the Freedom of Information and Protection of Privacy Act. It will not be used or
disclosed other than for the purpose for which it was collected, except with the consent of the individual whom the
information is about or otherwise in accordance with law.
If you have any questions about this collection and use of your personal information, contact the Information and Privacy
Coordinator at 604-864-5575 or
FOI@abbotsford.ca
City of Abbotsford, 32315 South Fraser Way, Abbotsford, BC, V2T
1W7.
☐ If the Applicant is an Incorporated Company or Society, check this box to confirm that all contacts are authorized
signatories of the company and they have authority to sign on the company’s behalf. If this box is not checked, a
letter on Company Letterhead must be included to outline the permission they have
The information herein provided and attached is, to the best of my knowledge, complete and correct. I
understand that acceptance of this application DOES NOT constitute permission to construct/place the above-
described building. Further, I hereby agree that all information, including personal information, contained on this
document may be made available to the public.
☐ Check here to confirm you understand that Development Cost Charges (DCCs) will be levied at time of Building Permit
Signature of Primary Contact (Applicant)
Date
Signature of Additional Contact(s) (if applicable)
Date
Applications will be accepted between the hours of 8:30 a.m. - 4:00 p.m.
Please allow 15-30 minutes to process the application in-take.
If paying by cash or debit, additional time will be required.
Per Development Application Procedures Bylaw No. 2521-2016,
incomplete applications cannot be accepted.
FOR OFFICE USE ONLY
► If application is incomplete, indicate reason(s) and return to applicant:
► If application is complete, date stamp all documents and complete in-take.
Date Stamp:
Received by:
PLANNING & DEVELOPMENT SERVICES
604-859-5510
planning-applications@abbotsford.ca
Form No. APL-003 (Revised: February 2, 2018)
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