TITLE ACT

FORM C
(Section 219.81)

Province of
British Columbia

GENERAL INSTRUMENT - Pp ART 1 (This area for Land Tile Office use) PAGE | of 6

|. APPLICATION: (Name, address, phone number and signature of applicant, applicant's solicitor or agent)
GREATER VANCOUVER SEWERAGE AND DRAINAGE DISTRICT Attention: Richard Toews
4330 Kingsway
Burnaby, B.C, VSH 4G8
Telephone: 432-6480

PARCEL IDENTIFIER(S) AND LEGAL DESCRIPTION(S) OF LAND:*
(PID) (LEGAL DESCRIPTION)
012-519-685 Lott, BL. "A*, DL 255, Gep. 1, NWD, Plan 2106
012-5 19-693 Lot 2, BL “A*, DL 255, Gep. 1, NWD, Plan 2106
012-745-707 Lot 23, DL 255, Grp. 1, NWD, Plan 2538
NATURE OF INTEREST:*
DESCRIPTION DOCUMENT REFERENCE PERSON ENTITLED TO INTEREST
(page and paragraph)
Lease Entire Document Transferee
(Pages 3 to 6)
4, TERMS: Part 2 of this instrument consists of (select one only)

(a). Filed Standard Charge Terms DF. No,
(b) Expressed Charge Terms Annexed aa Part 2
(¢) Release There is no Part of thia instrument

A selection of (a) includes any additional or modified teems referred to in itern 7 or in a scnedule annexed to thia instrument. If (c) is selected, the charge
described in item 3 is released o¢ discharged as a charge on the land described in {tem 2.
5. TRANSFEROR(S):*

CORPORATION OF THE CITY OF PORT COOUTTLAM

2580 Shaughnessy Street

Port Coquitlam, B.C.

V3C 248

TRANSFEREE(S): (including postal address(es) and postal code(s))*
GREATER VANCOUVER SEWERAGE AND DRAINAGE DISTRICT, a corporation created by en Act of the Legislature of the Province of British
Columbia, 4330 Kingsway, Burnaby, B.C. VSH 4G8

ADDITIONAL OR MODIFIED TERMS:*y/4

EXECUTION(S):**This instrument creates, assigns, modifies, enlarges, discharges or. goverms the priority of the interest(s) described in Item 3 and
the Transferor(s) and every other signatory agree to be bound by this instrument, and acknowiledge(s) receipt of a true copy of the filed standard charge
terms, if any,

| Execution Date
Officer Signature(s) | Party(ies) Signature(s)

Y|M/D

GREATER VANCOUVER SEWERAGE AND DRAINAGE
DISTRICT by its authorized signatories

Solicitor/Notary Public BEN E. MARR

NANCY GRANT

OFFICER CERTIFICATION:

- Your signature constitutes @ representazion that you are a voliciter, a (eh authorized by the Evidence Act, R.S.B.C, 1979,c. | 16,

to take affidavits for use in British Columbia and certifies the mattGrner Out ik Land Title Act as they pertain to the execution of this
inatrument.

(f space insufficient, enter "SEE SCHEDULE™ attach s hedule in F

Uf space insufficient, continue executions on additional pases) in Fo