Skip to content

Township of Puslinch, 7404 Wellington Road 34, Puslinch, Ontario N0B 2J0 (temporarily closed)

Shop Local Puslinch is now live!

Minimize the impact of COVID-19 and support local businesses by purchasing gift cards.

Shop Gift Cards Now

Entrance Permit Application

Download printable PDF form.

Applicant Information

Description and Location of Property

Application is hereby made to

Check one or more of the following:

Classification, Use, Purpose, and Detail of Entrance

It is understood that all works will be constructed, altered, maintained, or operated at the expense of the undersigned. It is understood that work must not begin before the Township has issued a permit. The issuance of a permit by the Corporation of the T ownship of Puslinch (“T ownship”) does not relieve the owner/applicant of the application of the responsibility of complying with relevant municipal by-laws. In consideration of any permit issued in respect to this application, we, the applicants for ourselves, our heirs, executors, administrators, successors, and assigns, hereby agree to observe, keep and perform and be subject to the regulations and conditions of the said permit and to indemnify and save harmless the Township from and against all loss, cost, changes, damages, whatsoever to which may be put or which the Township may suffer or sustain or for which the Township may be liable by reason of anything done or omitted to be done in construction, maintenance, alteration or operation of the works authorized.

Click or drag a file to this area to upload.
Please provide a sketch of the location of the proposed entrance. Show entrance in proximity to existing buildings, driveways, roads, etc. North arrow should be shown. Use dark ink. *Please mark the proposed entrance clearly with stakes for inspection purposes

Authorization by Owner

If an application is signed by an individual other than the owner, the owner’s written authorization shall be completed below.

Personal information on this form is collected under the authority of the Municipal Act and will be used to determine the eligibility of a permit. The information is used for the purpose of processing this application and administering the entrance permit program and is maintained in accordance with the Municipal Freedom of Information and Protection of Privacy Act. Questions regarding the collection of this information may be directed to the Township Clerk’s office.

The Township of Puslinch is committed to providing accessible formats and communication supports for people with a disability. If another format would work better for you, please contact the Township Clerk’s office for assistance.

Documents on this Page