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Civic Address Application - County of Haliburton Application

Please read carefully:

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

Date / Time

Location

RIGHT CLICK location on road next to entrance.

Show Municipal 511 Content

The road information displayed is also available at m511.ca

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

nul

Pictures

Additional Files

New Permit