Required fields are marked with asterisks (*)

Development Services Building & Septic Division
180 Kent Street West
Lindsay ON K9V 2Y6
Telelephone: 705-324-9411 extension 1288
Fax: 705-324-5514
Email:buildingadmin@kawarthalakes.ca

Municipal Address Sign Request Form

This form is to be used when ordering a replacement sign or a new sign not associated with a building permit.

Requestor's Name:

Email Address of Requestor:

Street Name:

Street Number - If Replacement:

Property Owner Name:

Assessment Roll Number - found on your tax bill:

Type of Sign Being Ordered

Post & Blade

Blade only

Is the entrance existing?

Yes

Mandatory:

A site sketch is required to accompany your application, clearly showing the location of the entrance and the nearest cross roads and existing neighbouring numbers.

Note: If the entrance is not constructed, the location must be clearly marked in the field by white stakes.

The information provided on this form is true to the best of my knowledge. I have authority to act on behalf of the owner, corporation or partnership with respect to this application (if applicable).

Please Note: Upon completion of this form a signed copy must be submitted to the Building & Septic Division in conjunction with a site sketch and the appropriate fee.

Print, sign and submit to the Building & Septic Division, via email, drop off at any municipal Service Centre, mail to the address at the top of this form or alternatively email to buildingadmin@kawarthalakes.ca

For more information on filing applications or making payments please visit the City website at www.kawarthalakes.ca and navigate to My Property page under the Living Here tab.

Personal information contained on this form is collected pursuant to the Municipal Act, 2001 and will be used for the purpose of responding to your request. Questions about the collection of this information should be directed to the City Clerk or Deputy-Clerk at clerks@kawarthalakes.ca.

Date submitted

Signed by

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