APPLICATION FOR AMENDMENT TO THE LAND USE BY-LAW

SCHEDULE B FORM E

COUNTY OF FORTY MILE NO. 8

LAND USE BY-LAW NO. 10/2009
APPLICATION FOR AMENDMENT TO THE LAND USE BY-LAW
I/We hereby make application to amend the Land Use By-Law.

APPLICANT:
Name*
Telephone No.*
Address*
1. Amendment to Land Use District Map

a) Legal Description of Land:
All / part of the 1⁄4 Section blank Township
blank Range West of the Meridian
Being all / parts of Lot Block Reg. Plan No. Certificate of Title No.
b) Owner of Land:
Name
Telephone No.
Address
c) Proposal:
From:
To:
2. Other Amendments.
3. Reasons in Support of Application.*
I/We enclosed $ * being the Application Fee.
Date*

MonthDayYear
Date
Signed*

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