rg eS SBA eae Fete Lee CaaS
Pioheeas eee ater et as sp ibeaabinae

Ae be ee

The terms of this permit or any amendment to it, are binding on all
persons who acquire an interest in the land effected by this permit.

This permit is not a building permit.

AUTHORIZING RESOLUTION PASSED BY THE COUNCIL THE

19

APPROVED BY THE MINISTER OF TRANSPORTATION AND HIGHWAYS ON. THE

DAY OF 19 (If applicable.)

ISSUED THIS » 19

I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE TERMS AND CONDITIONS

UPON WHICH THIS PERMIT IS ISSUED.

Applicant (or Authorized Agent
or Representative of Applicant)