Required fields are marked with asterisks (*)

General Consent Form - Planning

The purpose of this form is for the legal owner of a property to allow a representative acting on behalf of the owner (ie: real estate agent, lawyer, permit applicant) access to information relating to their file.

Owner Details

First Name

Last Name

Phone Number

Property Roll Number

Street Number

Street Name

City or Town

E-Mail Address

Release and Authorization

I hereby allow my representative (name below), permission...

I give this individual permission to receive information of the following nature:

By checking Yes, I am attesting that the information provided on this form is true and correct and submitting is equivalent to my authorized signature.

Yes

Please sign this form using your mouse or your touch device

Clear

Date (mm/dd/yyyy)

Collection of Information

Personal Information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. M56, as amended. Inquiries about the collection of personal information should be directed to the appropriate department.