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Town Planning

Permit application — Well


Identification of the applicant

Is the applicant the owner of the property concerned by the request?

Identification of the owner

As per the title deed

Owner 1

Authorization

The signature of all owners, as indicated on the evaluation roll for the property in question, is required. One person may be designated, in writing, to represent all the owners for the present request (see section "Identification of the applicant").

If the registered owner is a Company (legal entity) and the designated representative is not the major shareholder, attach a certified copy of the resolution from the Administrative Council authorizing this person to sign the permit application.

For new owners who are not currently registered on the evaluation roll, please attach a copy of your deed of sale.

You may also attach a signed proxy from the owner authorizing the applicant to sign or receive information issued by the Municipality of Bolton-Est on their behalf.

Download the proxy application

Drop files here or click to upload them.

Location of work

Type of property
If applicable

Description of the work

Type of work
Type of well

Drop files here or click to upload them.

The well will supply
The well has a predicted capacity of
Use of the water
Are there other wells located on the property?
Are you planning to abandon the use of one of these wells?
Have you consulted a professional?

Professional

Type of professional

Contractor and work schedule

Who will carry out the work?

Documents to submit with your application

Required documents

Drop files here or click to upload them.

Communication

Preferred correspondence method

Consent and signature

The fees associated to this permit application are $25.

Copy of the report complying with article 21 of Provincial by-law Q-2, r. 35-2 shall be presented to the municipality within 30 days of the completion of work.