(requested land use designation)
CERTIFICATION AND SIGNATURE
I, hereby certify that the information given on the form is complete and is, to the best of my knowledge, a true statement of the facts relating to this application.
This information is being collected under authority of sections 33(a) and (c) of the Freedom of Information and Protection of Privacy Act. Your personal information will be used to process your application(s). Please be advised that your name, address, and details related to your permit may be included on reports that are available to the public as required or allowed by legislations. All personal information will be managed in compliance with the provisions of the FOIP Act. Questions about the collection of this information can be directed to the Director of Corporate Services 780-694-3793