Required fields are marked with asterisks (*)

Recreational Vehicle Licensing Application

Please fill out the form below to apply for a Recreational Vehicle Licence.

Applicant Details

Name:

Address:

Phone number:

Email address:

Site Information

Lot Number:

Concession Number:

911 Number and Road Name

Site Roll Number:

What is your interest in the land?

Dimensions of Land

Frontage:

Depth:

Area:

Vehicle Details

Make:

Model:

Length:

Colour:

Licence Plate Number:

Vehicle Identification Number (VIN #):

Site Provisions

Please provide details on the provisions that have been made for the items listed below.

Septic/Black Water:

Grey Water:

Potable Water:

Heat:

Occupancy

What are your expected times of occupancy?

Site Plan

Please attach a site plan that includes the property dimensions, proposed position of the recreational vehicle on the property including setbacks from all lot lines, roadways, waterbodies, watercourses, location of septic system/privies, location of any wells, driveway, proposed fire pits, parking spaces.

Please attach a site plan of the property that includes all of the above listed information.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

If applicable, please attach approved permit from the Crowe Valley Conservation Authority.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Collection of Personal Information

Personal information collected on this Recreational Vehicle Licensing Application is obtained under the authority of the Municipal Act, 2001 and applicable municipal by-laws regulating the placement and use of recreational vehicles. This information will be used to review and process the application, issue or refuse a licence, ensure compliance with municipal regulations, and maintain related records. Personal information will be protected in accordance with the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA). Questions about the collection, use, or disclosure of this information should be directed to the Bylaw Department.

Signature

I confirm that the information provided on this application is true to the best of my knowledge and belief. I confirm that I have read and understand the conditions of the licence and further agree to comply with the provisions of the By-Law.

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