Property File:
CITY USE ONLY
__________________________________
Land Use District:
__________________________________
Date Received:
__________________________________
Completion Date:
__________________________________
(MM/DD/YYYY)
5 St. Anne Street
St. Albert, AB
T8N 3Z9
Phone: 780- 459-1642
Fax:
780- 458-1974
(MM/DD/YYYY)
Regular
Rush Paid $
COMPLIANCE CERTIFICATE APPLICATION
PLEASE PRINT
This application must be accompanied by two (2) copies of a Real Property Report
dated no more than five years prior to the date of this application.
Property Address:
Legal Description:
Lot(s):
Property Details:
Please reply by:
Block:
Residential
Plan:
SFD with Basement suite
Mail
Commercial / Industrial / Institutional
Pick-up
Please phone (name):
Phone number:
Fax number:
E-mail:
Applicant:
Date:
Mailing Address:
File Number:
(MM/DD/YYYY)
Client:
Please note the Compliance Certificate issued by Planning & Development Services may confirm both the Districting (zoning of the land) and that the
use of the land or building is in accordance with the regulations of the District (zoning). Provided the Real Property Report contains the necessary
information, the Compliance Certificate may also indicate that the buildings on the site are located in accordance with the yard requirements of the Land
Use Bylaw and/or as specified in any development permit that may have been issued for the site.
Signature:
CITY USE ONLY
Comments:
Collection and use of personal information
The personal information being collected on this form is for the purposes of processing and acting upon this application in accordance with the Municipal
Government Act, and is protected by the privacy provisions of the Freedom of Information and Protection of Privacy Act. The City will not share your
personal information for purposes outside of those stated without your permission in writing, unless there is a specific exemption stated in the Municipal
Government Act.
P&D Form 001
Updated: April 2010