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THE CORPORATION OF THE CITY OF PORT COQUITLAM
"DEVELOPMENT PROCEDURES BYLAW, 1987, NO. 2243"
SCHEDULE "B"

Enacted by Bylaw No. 2608

APPLICATION ‘FOR

OFFICIAL COMMUNITY PLAN AMENDMENT

TO BE COMPLETED BY APPLICANT - Please print clearly

Applicant's Name - . Registered Owner

Address Address |

t

Cinclude postal code) (include postal. code)

Phone Number Phone Number

Legal Description of Property

Civic Description of Property

Change Requested

(Date) (Signature )

or erecta erase Pete At ORM A LT eT oT ae TPO OR A Le echo transient rence]
ey a nN Ie catanenat oeta tr eremcoepacnareeree TST

TO BE COMPLETED BY OFFICE

Non~refundable Fee — § 300.00

Fee for advertising $- 1,200.00
(refunded if Public Hearing not held)

Total Fee Paid $ 1,500.00 |

RECEIPT i

DATE