The Corporation of the Township of Manitouwadge 1 Mississauga Drive Manitouwadge, ON P0T 2C0 Phone: 807-826-3227 Fax: 807-826-4592 PURCHASE OF MUNICIPAL LANDS APPLICANT INFORMATION: Name of Applicant: Mailing Address: City/Town: Phone: ( ) Fax: ( Province: ) Postal Code: e-mail: LOCATION OF MUNICIPAL PROPERTY STREET ADDRESS: LEGAL DESCRIPTION: ASSESSMENT ROLL NO. PIN NO: Describe in detail your intended use for the municipal property: BID AMOUNT FOR PURCHASE OF MUNICIPAL LAND $__________ IMPORTANT NOTICE: A deposit of $1,000.00 is required to process this application. If you are the successful bidder and wish to proceed with the purchase, this deposit will be applied to the purchase price. If you are not the successful bidder your deposit will be returned. I understand that: the purchase price is subject to GST. All legal fees regarding this transaction will be my responsibility. A current plot plan survey of the property will not be provided. Acceptance of this offer to purchase does not guarantee that any required planning applications (minor variance, zoning by-law amendment, official plan amendment) will be approved. Various conditions may be placed on the acceptance of offer, at the discretion of Council. All costs associated with the sale of land shall be borne by the purchaser. SIGNATURE OF APPLICANT: Print Name: Date: PERSONAL INFORMATION CONTAINED ON THIS FORM IS COLLECTED UNDER THE AUTHORITY OF THE MUNICIPAL ACT, 2001 AND WILL BE USED SOLELY IN THE ADMINISTRATION OF THE ABOVE NOTES INQUIRY