Civic Address Application - County of Haliburton Application

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A Civic Address Sign Request (Civic Address) is used to obtain entrance identification to rural properties and farm fields to assist emergency responders locating an emergency.

Additional Conditions and Comments

Fee payment can be made in a variety of ways:

In person at 11 Newcastle Street, Minden - Cash or Cheque made payable to the County of Haliburton
By courier or Canada Post - Cheque made payable to the County of Haliburton
Via EFT to payments@haliburtoncounty.ca

Applicant Details

These fields may be automatically populated from a logged-in user's account details

Clear

Organization's Legal Name *

Organization Position/Title

First Name *

Last Name *

Primary Phone Number *

Extension *

Secondary Phone Number

Extension

Email Address *

Address *

City/Town *

Province/State *

Postal/Zip Code *

Fax

Drawings

Note: Drawings may also be uploaded as additional attachments below.

Add New Drawing
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Drawing	Preview

Civic Address Application - County of Haliburton Details

New installation or replacement? *

Entrance details *

Property Owner's Name *

Tax Roll Number *

Lot Number

Concession

Municipality *

Part

Plan

Road Name *

Which side of road?

Proximity to nearest civic address sign

E.g., 43 meters northwest of 55555.

Was this lot severed in the last two years?

Building permit number (if applicable)

If there are additional signed entrances to the property, provide the number(s) and identify why another sign is required.

File Uploads

Plot plan indicating location

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Pictures

Additional Files

Civic Address Application - County of Haliburton Application

PREVIEW ONLY . You must register and login in to service to make application.

Please read carefully:

Additional Conditions and Comments

Applicant Details

Drawings

Date / Time

Location

Civic Address Application - County of Haliburton Details

Office Use Only

File Uploads

PREVIEW ONLY . You must register and login in to service to make application.