Permit / Subdivision Application Form

Required fields are marked with an asterisk (*)

Applicant name *
Applicant mailing address *
Are you altering the grade of the property? *
Are you altering the grade of the property?
Is digging required in the HRM right-of-way (sidewalk/road) to establish a driveway or connect to services? *
Is digging required in the HRM right-of-way (sidewalk/road) to establish a driveway or connect to services?
Will you require temporary use of (encroachment on) the HRM right-of-way (sidewalk/road)? *
Will you require temporary use of (encroachment on) the HRM right-of-way (sidewalk/road)? 
In accordance with Section 485 of the Municipal Government Act (MGA), any personal information collected on this application form will only be used by municipal staff and, if necessary, individuals under service contract with the Halifax Regional Municipality for purposes relating to the processing of permit applications. If you have any questions about the collection and use of this personal information, please contact the Access and Privacy Office at 902-490-7460 or accessandprivacy@halifax.ca
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