APPLY FOR A TEMPORARY SECOND DWELLING PERMIT

* Required Field

1. PROPERTY

* Is the Property subject to:

2. PROPERTY OWNER / APPLICANT:

3. DWELLING

* Reason for Occupancy:
Site Inspection Required:

Notice of Collection of Personal Information:

The information collected on this form will be used to process the application and for the purposes of administration and enforcement. The personal information is collected under the authority of the Local Government Act and the bylaws of the Regional District of Kitimat-Stikine. Information submitted may be made available for public inspection pursuant to the Freedom of Information and Protection of Privacy Act. Contact the Regional District of Kitimat-Stikine if you have any questions regarding the use of this information.

* By checking this box, printing my name and submitting this form, I confirm that the information provided is accurate and complete.


Security Measure