Land Fill Request

Applicant Information

Applicant First Name

Applicant Last Name

Corporation (if applicable)

Mailing Address

City / Town

Province / State

Country

Postal / Zip Code

Primary Phone Number

Secondary Phone Number

Email Address

Subject Property

Please provide at least one way to identify the subject property Please provide at least one way to identify the subject property

Civic Address

Legal Description

Parcel ID

Proposal

Dumpsite leveling for City material to be done by Dumpsite leveling for City material to be done by

City

Property Owner

Other

Are you the Owner of the property that is being filled? Are you the Owner of the property that is being filled?

Yes

No

Approximate Number of Loads

Expiry Date of Request

Is volume to exceed 100 cubic metres (more than 14 loads) Is volume to exceed 100 cubic metres (more than 14 loads)

Yes

No

Description of Proposal

Please note that fill cannot be used for filling ditches.

Application Checklist

Application Checklist Application Checklist

Appointment of Agent (if applicable)

Site sketch identifying where fill is to be dumped

Maps, plans and documents in support of application (if applicable)

Please print, review, sign, and send this document and all supporting documents to Development Services; 2nd Floor - City Hall ; 1100 Patricia Blvd ; Prince George; BC V2L 3V9 or scan and email to devserv@princegeorge.ca

For questions and concerns, Development Services can be contacted by phone at 250-561-7600 or by email at devserv@princegeorge.ca.