Required fields are marked with asterisks (*)

Site Visit Request

Contact Information

Applicant Information

First Name:

Last Name:

Company Name:

Street:

City:

Postal Code / Zip Code:

Email:

Phone Number:

Cellphone Number:

Landowner Information

Landowner information is the same as the applicant information?

Yes

Pursuant to the Municipal Freedom of Information and Protection of Privacy Act, the personal information contained on this form is collected under the authority of the Conservation Authorities Act R.S.O 1990, c. 27 s. 21. (1). This information will be used for the purpose of responding to your request.

Questions about the collection of information should be directed to the Freedom of Information and Privacy Co-ordinator, Kawartha Region Conservation Authority, 277 Kenrei Road, Lindsay, ON K9V 4R1, telephone (705) 328-2271.

Forms

Site Visit Request

Contact Information

Applicant Information

Landowner Information