PERMISSION TO ACT
AS AN AGENT
Region and area address:
Provincial Approving Officer
Ministry of Transportation and Infrastructure
I,
Date:
/
/
, hereby give permission for
to act as my agent on my behalf for the attached preliminary subdivision application. Any and all
correspondence shall be sent to my agent.
Additional Comments:
Owner
/
Witness
/
Date
Agent
Address
British Columbia
Postal Code
Phone
Fax
E-mail
The personal information on this form is collected under the authority of the Land Title Act. The information
collected will be used to process your preliminary subdivision application, and it may be necessary for the
ministry to provide this information to other agencies involved in the review and approval process. If you
have any questions about the collection, use and disclosure of this information, contact District
Development Technician at the nearest Ministry of Transportation and Infrastructure Office.
The information in this application may be subject to disclosure
under the Freedom of Information and Privacy Act.
Further information can be found at http://www.gov.bc.ca/citz/iao/foi/submit/general/
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