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Township of Puslinch, 7404 Wellington Road 34, Puslinch, Ontario N0B 2J0

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Heritage Project Consent Form

The consent form below is to permit the Township to include your property on the Township’s Digital Archive and Online Heritage Register.

Note: This consent form can only be completed by the registered property owner.

Consent Confirmation

I understand that by granting permission to the Township of Puslinch to include my property on the Township's Digital Archive and/or Online Heritage Tour that only the historical information about my property will be included. No information related to property ownership will be included on either the Digital Archive or Online Heritage Tour.

I understand that if I grant permission to the Township to take exterior photos of buildings on my property with heritage features that the Township may use these photos as part of the Township's Digital Archive and/or Online Heritage Tour.

I understand that if I submit any images of my property they may be used for the Township's Digital Archive and/or Online Heritage Tour.

Consent to Future Photo Use

The Township often uses photos in it’s advertising and promotion of Township services and programs. Please indicate below if you consent to the Township using the photos collected for future Township publications.

Personal information on this form is collected under the authority of the Municipal Act and will be used to confirm participation on the Township’s Digital Archive and Online Heritage Tour 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.