Permit Fee: $100
Applicant:
Permit to be issued to:
Address:
City:
Contact:
Telephone:
- Ext.
E-mail Address:
Area Municipality:
Location Description:
End Date:
Time To:
Purpose:
A current certificate of liability insurance in the amount of at least $1,000,000 to $10,000,000 naming the Region as an additional named insured. This certificate must accompany the application. The amount will be specified by the Region.
Approved subject to the following conditions:
1. The applicant shall assume all liabilities and will be responsible for all action, claims, damages and losses whatsoever occasioned by or on account of the issuance of the permit.
Verify your submission by typing the 6-digits you see in the box:
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If you have any questions regarding this form, or need help completing it, please contact the Region at 905-685-1571 ext.3267 or ext. 3263
Forms, Permits, Fees