atk 5 EM penet yy:
AT RO,

This permit is not a building permit.

AUTHORIZING RESOLUTION PASSED BY THE COUNCIL THE

APPROVED BY THE MINISTER OF TRANSPORTATION AND HIGHWAYS ON THE

DAY OF 19 (If applicable.)

ISSUED THIS

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) .