THE CORPORATION OF THE CITY OF PORT COQUITLAM

'"DEVEOPMENT PERMIT PROCEDURE BYLAW, 1982, NO. 1894"

SCHEDULE "'B"

APPLICATION FOR DEVELOPMENT PERMIT

(Name of Owner)

of

(Address)

hereby make application under the provisions of the "City of Port Coquitlam
Zoning Bylaw, 1979, No. -1651" for a Development Permit to permit the
development described below upon:
(legal
description
of
property)

Full description of Proposed Development:

In order to develop the property I require the variation of
or supplement to:

(a) The "City of Port Coquitlam Zoning Bylaw, 1979, No. 1651", specifically,
Section(s) > > etc.

(bo) The "City of Port Coquitlam Subdiv = Land Bylaw, 1970, No. 992"
Section(s): : ; > etc.

Section 732 of the Municipal act. (strike out inapplicable clauses)

in the following manner:

Attached to this Application are the plans and specifications of the
proposed development drawn to a scale acceptable to the City together
with a full description of the proposed development.

The owner of the land is:

(Name)

(Address)