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BUILDING MOVING PERMIT

APPLICATION DATE PERMIT NO.

This permit is issued to the Owner/Agent named below, for the purpose of
the construction or demolition described herein. The validity of this
permit is subject to compliance with the plans and other documents
submitted with the permit application, and to the compliance with the
"Building and Plumbing Bylaw".

ADDRESS

LOT ZONING

Address Address

City ty

Postal Code | Telephone Postal Code Telephone

PURPOSE

SIGNATURE OF NAME
OWNER/AGENT . TELEPHONE

NOTES

Explanatory notes required here
the building is going to be moved
into or out of the City limits.

PERMIT FEES AND DEPOSITS:
Bdg Moving Fee

‘TOTAL FEES AND DEPOSITS:

THE ISSUANCE OF THIS PERMIT SHALL IN NO CASE BE TAKEN AS ASSUMPTION OF
RESPONSIBILITY BY THE CITY FOR ERRORS OR VIOLATIONS OF CODES, STATUTES OR

BYLAWS

BUILDING
OFFICIAL

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