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

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Site Alteration Permit Application

Download the printable PDF form.

Click or drag files to this area to upload. You can upload up to 10 files.

This application must be accompanied by:

  • Copies of a Control Plan certified by a Professional Engineer or other qualified person as deemed by the Chief Building Official
  • Proof from an accredited laboratory that any fill being imported to the site complies with the clean fill parameters as set out in Table 1 of the Ontario Regulation 153/04 as amended.
  • Security in a form and amount acceptable to the Chief Building Official
  • Owner’s authorization if Applicant is not the Owner
  • Any required external agency permit
  • Any required report

Property Information

Agent Information

Work Schedule

Engineers

Contractor

Details

Indicate if not applicable.

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