FORM 17
APPLICATION Seneouce A

NOTE: Before subniitting this application, applicants should
check and Satisfy themselves 4s £9 the tax bosition, including
taxes of the Crewm Provincial, the Municipality, and improvement,
water, and irrigation districts, :

NATURE oF INTEREST: CHARGE - Right to Purchase
True Value:

HEREWITH FEES oP

Address of Person entitled to be registered ag owner,
if difforent than shown in instrument

Legal description, LE not shown in instrument being submitted .
with this application

' Pull | name, address, telephone number of person
presenting application

(Signature OF applicant, or
uthorized agent)

Solicitor or a

THIS AGREEMENT made as of the day of , 1983,

THE CORPORATION oF THE CITY oF PORT COQUITLAM
2270 McAllister Avenue
: Port Coquitlam, British Columbia
V3C 2Ag8

(the "Vendor")

PORT COQUITLAM (Pacific No, 133) BRANCH oF THE RCYAL
CANADIAN LEGION

M ster Avenua
Port Coquitlam, British Columbia
V3c 2a9

(the "Purchaser")

A. The Vendor is the registered owner of the Lands (ag
herein defined) which form part of the area commonly known as tha
"Dalkey Site" in the City of Port Coquitlam (the "City");

B. The Purchaser wishes tO purchase and @evelop the Lands;

eset nad ed Ved ORE

ON NIN: ks aia ddd ie Clen BURA Ae ae cian og ym dhe be