Fillable Swimming Pool Fence Permit Application 2. Applicant Information (City of London, Ontario)

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Swimming Pool Fence Permit Application 2. Applicant Information (City of London, Ontario)

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The Swimming Pool Fence Permit Application 2. Applicant Information (City of London, Ontario) form is 1 page long and contains:

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  • 2 check-boxes
  • 33 other fields

Country of origin: CANADA
File type: PDF

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Swimming Pool Fence
Permit Application
Development & Compliance Division
Phone: 519-930-3510 • E-mail: zoning@london.ca
1. Project Information
Project Address
Corner lot?
Yes No
Construction value
Pool size
Type of pool
Inground
Above ground
First Name
Company Name
Address
Phone Number
E-mail Address
First Name
Last Name
Company Name
Address
Phone Number
E-mail Address
First Name
Company Name
Address
Phone Number
E-mail Address
First Name
Company Name and City of London Contractors Business Licence Number
Address
Phone Number
E-mail Address
DECLARATION
The undersigned agrees that the proposed work shall be done in accordance with this application and in accordance
with plans and specifications on the basis of which the permit is issued and agrees to comply with all applicable
provisions of the By-law PS-5 (a by-law to provide for the owners of privately-owned outdoor swimming pools to erect
and maintain fences) as amended and the zoning by-law and related agreements with the City and applicable to the
subject lands. The undersigned agrees that the permit is issued to the Owner of the property.
I,______________________________, the undersigned, certify that the statements herein contained in the said
application are true and made with a full knowledge of the circumstances connected with the same, and acknowledge
that I have read the declaration and notice contained above.
Applicant’s Signature
Date (yyyy-mm-dd)
Form no. 0496 (rev.2021.04)
www.london.ca
For City of London use only
Application number
Application date (yyyy-mm-dd)
2. Applicant Information
3. Owner Information
4. Fence Contractor Information
5. Pool Contractor Information
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Swimming Pool Fence Permit Application 2. Applicant Information (City of London, Ontario)

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Completed 26 July 2021

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