Building and/or Development Permit Application

Municipality / Disctrict *

Belle-Baie

Belledune

Chaleur rural district

Prefered language *

French

English

Property address

Address *

City *

Province *

Postal code *

PID *

Applicant information

Contact information of applicant

Name(s) *

Address *

City *

Province *

Postal code *

Email *

Telephone

Cell phone

Contact information of landowners (if different from the applicant)

Name(s) *

Address *

City *

Province *

Postal code *

Telephone

Cell phone

Development

Existing Use *

Proposed Use *

Description of work *

Please attach plans, drawings or photos of the proposed project with your application, including the project/development cost and any other pertinent information.

Plans, drawings or photos

Drag and drop files here or Browse Max file size: 1024MB

Signature

I do solemnly declare:

THAT I hereby request a building or/and development permit as described, and agree to conform to all by-laws and pertinent administrative requirements;

THAT the building permit issued under the terms of this application shall not be used for any other work. Any additional work may require another permit ;

AND I make this solemn declaration sincerely believing that it is true and that it has the same value and effect as if it had been solemnly sworn under the « Canada Evidence Act ».

Applicant's signature *

Date *