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3726 Schedule "B" - Business Improvement Area (BIA) - consturction and maintenance of municipal parking lots within the BIA area- By-Law 3726 Schedule 'B' JFai~onbur0 Please submit this request by mail or email to: Tillsonburg Corporate Office-a;~&kJ!F-~ Attn: Deputy Clerk 200 Broadway, Suite 204 REQUEST FOR RELIEF FROM BY-LAW Tillsonburg, ON N4G SA7 Civic Address of Subject Property: Property Zoned: Legal Description, Roll# if available: Name of Applicant: Date of Request: Mailing address of Applicant: Email address of Applicant D Request for Exemption from current By-Law, to authorize a special municipal levy for construction and maintenance of municipal parking lots within the BIA area. Brief Description of reason for exemption: Applicant's Signature For office use only Chief Building Official Development Planner Review completed by: Review completed by: Date: Date: Based on the review, the recommendation is to: Based on the review, the recommendation is to: DApprove DApprove DDeny DDeny Comments: Comments: Signature: Signature: Council Meeting Date: Request Approved 0 Request Denied D • Your request will be reviewed and if determined that your property qualifies for on exemption you wifl be notified, by mail or email, within 10 business days of the Town receiving this form. • Afl exemptions will be brought to Council, the meeting date will be provided to applicants once known . • This form shall be circulated to the Chief Building Official, County Development Planner, Clerk, and Revenue Manager .