City of Brampton Planning & Infrastructure Services Public Works 1975 Williams Parkway Brampton, Ontario, L6S 6E5 Telephone: 905.874.2500 Fax: 905.874.2599
Permit Number
(B)
1. Application: 2. Commencement: 3. Completion:
Location of Work: (Nature of work to be shown on attached plan) Comments:
Fees Required: (Upon Approval of Application) Fill Residential $50.00 Fill Other Property $125.00 Topsoil Removal $500.00 + $25.00/ha The Applicant Agrees To: 1. Cease work until a permit has been approved and issued. 2. Abide by all requirements as set out in By-Law 143-95. 3. Complete all work to municipal standards and to the satisfaction of the Executive Director of Public Works. 4. Maintain the cleanliness of City streets if material is being transported. 5. Provide security in the form of a Letter of Credit in the amount of $ as security for the performance of the work as detailed on the approved plans. 6. Allow the City or it’s servants to enter upon the land to complete certain works at the applicant’s expense that the applicant has defaulted on. 7. Provide a plan(s) satisfactory to the Executive Director of Public Works as required by Section 3 of By-Law 143-95 within 30 days of the application date.
Signature of Applicant (Owner): Reviewed By: Approved By:
Date: Date:
White: Applicant Yellow: Office Pink: Inspector Golden Rod: File (Copy to Treasury When a Letter of Credit is Requested) The personal information on this form is collected under authority of the Municipal Act, SO 2001, s.25. This information will only be used to process the Topsoil Stripping/Fill/Grading Permit Application. Questions about the collection of personal information should be directed to the Permits Supervisor, Williams Parkway Operations Centre – 1975 Williams Parkway – Brampton, ON L6S 6E5 - Telephone: 905.874.2500.
