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Water Use Restriction Exemption Application

Applicant Information

First Name

Last Name

Address

City / Town

Province / State

Country

Postal / Zip Code

Primary Phone Number

Secondary Phone Number

Email Address

Application Details

Approximate Dimensions Required to Exempt

Civic Address to Exempt

Requested Exemption Start Date

Reason for Request

Seeding

Sod

Other (please explain)

THIS EXEMPTION DOES NOT PERMIT WATER USE DURING THE HOURS OF 12:00PM (NOON) AND 5:00PM. EXEMPTIONS ARE FOR MAXIMUM TWO (2) WEEKS ONLY.

The personal information on this form is collected by the City of Prince George for the purposes of processing this application, under the authority of section 26(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection of information, please contact the Manager, Utilities Division, Engineering and Public Works, at 1100 Patricia Boulevard, Prince George, BC, or by telephone 250-561-7600.

Learn more information about the collection of personal information under the Freedom of Information and Protection of Privacy Act.

Submission Information

After hitting the submit button at the bottom of this page your application will be forwarded to the City of Prince George Utilities Division for approval. If the application is approved you will receive an email with instructions on how download and print your approved application. You will also be notified if the application has been rejected.

Once the application has been approved, please print and post in a visible location (in front window or door).

Note: Bylaw Services is typically notified of the exemption and any related specifics. If you have any questions please contact the City of Prince George at 250-561-7600.