Road Occupancy Permit Application

Name of Group or Organization

Address

City/Town/Township

Postal Code

Applicant Name

Applicant Title

Applicant's Phone No.

Applicant's E-mail Address

Privacy Statement

Information contained on this form is collected under the authority of the Municipal Act. Information collected will be used and managed by the Township of Asphodel-Norwood in accordance with the Municipal Freedom of Information and Protection of Privacy Act for general municipal operations. If you require additional information, please contact the Clerk Department.

Please indicate that you've read and understand the above privacy statement.

Yes