Bylaw Services Complaint

Applicant Information

Full Name

Primary Phone Number

Secondary Phone Number

Email Address

Residential Address

Address

City/Town

Province

Postal code

Country

Mailing Address

Address

City/Town

Province

Postal code

Country

Subject Property

Civic Address

Complaint Information

Provide a detailed description of the nature of the complaint. How and when did you become aware of the issue described?

How does the nature of the complaint impact you?

Declaration to the City of Prince George

I HEREBY declare that I have read the above statements and confirm that they are true and correct to the best of my knowledge and belief.

I understand that the personal information on this form is collected by the City of Prince George for the purposes of bylaw enforcement, under the authority of section 26(b) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection of information, please contact Manager of Bylaw Services, at 1100 Patricia Boulevard, Prince George, BC, or by telephone 250-561-7600.

Learn more information about the collection of personal information under the Freedom of Information and Protection of Privacy Act.

Agreement

I agree to and acknowledge all of the terms of this application.

Applicant's Legal Name

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