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Request to Purchase Municipal Lands

By-law No. 6620/75/18

Name of Applicant:

Mailing Address:

City/Town:

Postal Code:

Phone Number:

Fax Number:

Email Address:

Location of Municipal Property

Legal Description

Assessment Roll No:

PIN Number:

Describe in detail your intended use for the municipal property:

Important Notice:

A deposit of $300.00 is required to process this application, and the deposit is non-refundable in most cases. If you proceed with purchase, this deposit will be applied to the purchase price. See By-law No. 6620/75/18 for details.

I/We hereby make this inquiry into the purchase of the above municipal property. I/We understand that this inquiry is non-binding on either the applicant or the City of Port Colborne with respect to the completion of any sale of land.

Signature of Applicant:

Clear

Print Name:

Date:

Personal information contained on this form is collected under the authority of the Muncipal Act, 2001 and will be used solely in the administration of the above noted inquiry.

form Builder

Request to Purchase Municipal Lands

Important Notice:

A deposit of $300.00 is required to process this application, and the deposit is non-refundable in most cases. If you proceed with purchase, this deposit will be applied to the purchase price. See By-law No. 6620/75/18 for details.