LST
APR ie

MUNICIPAL CLERK

Dear Sir: ,

RE: APPLICATION FOR EXEMPTION - SECTION 400(2) (c), (d)
MUNICIPAL ACT

L wish to make application to the Municipal Council to have exempted
under Section 400 of the Municipal Act the space occupied in School

Board property by the non-profit organization named below:~

ORGANIZATION NAME
ADDRESS

REPRESENTATIVE
(PHONE NUMBER)

NAME OF SCHOOL WHERE
SPACE IS LEASED

PROPOSED USE OF
LEASED SPACE

START DATE OF LEASE
COMPLETION DATE OF LEASE

OTHER DETAILS

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Yours truly,

B.C. ASSESSMENT AUTHORITY
9410-2755 LOUGHEED HWY.,
PORT COQUITLAM, B.C. V3B 5X9