SPECIAL CIRCUMSTANCES PERMIT

SPECIAL CIRCUMSTANCES PERMIT
For use only after Ban Season. Cost of this Permit will be $100.00

MUNICIPAL TRANSPORTATION PERMIT FOR MOVING WITHIN THE R.M.
PERMIT NO: R20 /C
Type **ONE (1) PERMIT PER JOB REQUIRED***

AgricultureOilOther
Date*

MonthDayYear
Date
Time frame for work (Start to Finish)*
Company Requesting Permit*
Name (Authorizing Person)*
Contact Number*
Please enter a valid phone number.
Email*
example@example.com
Reason Request Required*
Service Required*
Accurate Land Location*
IF LOCATION IS NOT CORRECT WHEN WE CHECK, THIS PERMIT IS VOID.
Route: (from Highway and location to location) this must be an approved route!*

If more space is required please use Note area below.0/150
NOTES
- THIS ROUTE MUST BE AN APPROVED ROUTE FROM THE RM NO. 290.
- IF THE SERVICE BEING USED DOES NOT USE APPROVED ROUTE THIS PERMIT IS VOID.
- IF THERE IS ANY DAMAGE THAT OCCURS DURING THIS PERMITS MOVE TO ANY ROADS THAT (I/WE) ARE RESPONSIBLE FOR COST OF REPAIRS.
- THIS PERMIT IS SUBJECT TO THE TERMS AND CONDITIONS STATED ON OUR OFFICIAL WEB SITE: rmofkindersley.ca
- ROAD RESTRICTIONS (LIST OF RULES WHILE TRAVELLING WITHIN THE R.M.)
Signature*

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Your digital name is your signature
Payment
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Payment