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E. Declaration of applicant
I (print name) request the
Council of the City of Guelph to consider this application for an exemption from
provisions contained in the City of Guelph’s Sign by-law (1996)-15245. I certify the
information on which this application is based to be true and the owner is aware of
this exemption request.
Date:
Signature of applicant:
Collection of Personal Information
Personal information is being collected and will be used for the purposes of
responding to request, and connecting applicant with declaration and payment.
Personal information, as defined by Section 2 of the Municipal Freedom of
Information and Protection of Privacy Act (MFIPPA), is collected under the authority
of the Municipal Act, 2001, and in accordance with the provisions of MFIPPA.
If you have questions about the collection, use or disclosure of this personal
information please call 519-822-1260 extension 2349 or email privacy@guelph.ca.
Alternate formats of this document are available as per the Accessibility for
Ontarians with Disabilities Act by contacting Building Services at 519-837-5615 or
email building@guelph.ca.
For use by Principal Authority
Folder number:
Fee collected:
Date received:
click to sign
signature
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