Development Time Extension Agreement

APPLICANT INFORMATION

Applicant

Company

Email Address

Telephone

Alternate Telephone

Mailing Address

Street Address Town Province Postal Code

DEVELOPMENT PERMIT APPLICATION INFORMATION

Development Permit File No.

Civic Address or General Location of Project Land

Legal Description

Lot/Block/Plan or Quarter/Section/Twp/Range

Certificate of Title

TIME EXTENSION AGREEMENT

In accordance with Section 684 of the Municipal Government Act, I hereby enter into an agreement with the Birch Hills County to extend the time to process the subject development permit application as follows:

Current Application Expiry

Time Extension Date

Applicant’s Signature

Date

TIME EXTENSION AGREEMENT – COMPLETENESS OF APPLICATION

In accordance with Section 63.1 of the Municipal Government Act, I hereby enter into an agreement with the Birch Hills County to extend the time to determine whether the development permit application is complete or incomplete as follows:

Current Determination Deadline

Time Extension Date

Applicant’s Signature

Date

This information is being collected under authority of sections 33(a) and (c) of the Freedom of Information and Protection ofPrivacy Act. Your personal information will be used to process your application(s). Please be advised that your name, address, anddetails 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 thecollection of this information can be directed to the Director of Corporate Services 780-694-3793.