Required fields are marked with asterisks (*)

Application For Entrance Permit

PROPERTY INFORMATION

Street Name:

House Number / Lot Number:

Concession or Plan No:

Description of Location: (i.e. North/South/East/West Side of Road and/or near intersection … and/or next to …)

Owner Name:

Owner Address:

Owner Telephone:

Owner Email:

Applicant Name: (If different than Owner)

Applicant Address:

Applicant Telephone:

Applicant Email:

CLASSIFICATION, USE, PURPOSE AND DETAILS OR ENTRANCE

Access required for: (Description of the type of establishment served by entrance. i.e. Residential, Commercial, Farm)

Number of Entrances Needed:

Width of Entrance:

For an addition to an existing culvert, describe the NUMBER OF METRES TO BE ADDED AND ON WHICH SIDE:

In accordance with By-law 141-92 of the Town of Fort Erie APPLICATION IS HEREBY MADE TO:

Construct an unpaved entrance

Remove curbs, gutters, or other permanent curbs related to an entrance

Change the location of an existing entrance

Use an existing entrance for other than its original, present or normal use (Change of classification from residential to commercial)

Other, please specify:

CONDITIONS OF PERMIT APPLICATION SUBMISSION

A 2’ x 4’ piece of lumber bearing the APPLICANT’S name shall be firmly placed to mark the centre line location of the driveway within 24 hours of the application
This application must be completed by the APPLICANT
The Town of Fort Erie assumes no responsibility for damage to bituminous pavement or other permanent work placed on an entrance within the road allowance
Residential entrances shall be a minimum of 6m wide to a maximum of 9m wide
Industrial/Commercial/Institutional length to be determined by site plan and turning radius

CONTRACTORS ACKNOWLEDGEMENT AND ACCEPTANCE

BY MY SIGNATURE BELOW, I HEREBY AGREE TO PAY ALL FEES IN ADVANCE AND WHERE THE TOWN COSTS EXCEED ANY DEPOSITS, I HEREBY AGREE TO PAY BALANCE WITHIN THIRTY (30) DAYS FROM DATE OF INVOICE.

Signature of Owner/Applicant:

Clear

Date:

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Application For Entrance Permit