Driveway Grading

YOUR CONTACT INFORMATION


   

 

 
 

ACCOUNT INFORMATION


Hereinafter called the APPLICANT(S) and the MD of Pincher Creek, hereinafter referred to as the MD, the APPLICANT(S) do hereby request the following driveway grading be done as outlined below:


example: SW 30-2-29 W4M

In consideration of the mutual covenants contained in this AGREEMENT, THE PARTIES AGREE AS FOLLOWS:

  1. As per Policy C-PW-001 the APPLICANT(s) may apply to have their private driveway graded at no charge, one time per year/to a maximum of one hour, to a permanent dwelling only. Any work above and beyond will be billed as per Fees and Charges Policy C-FIN-529.
  2. An MD employee must have inspected the driveway before maintenance can occur.
  3. Form must be filled out, in full, for services to be provided.
  4. By signing this document, you hold harmless and indemnify the MD from all liability for injury, death, property damage, property loss, or any other loss or expense to any party, including any other financial loss or expense, including, without restriction. Legal expenses and costs on a solicitor-and-his-own-client full indemnity basis as a result of the MD supplying materials or services.

I acknowledge that I have read, have had the opportunity to ask questions and clarifications before signing, and understand this entire application form including the waiver of Liability and release and I agree to be legally bound by it.

Please type your name here to accept the Terms and Conditions:

This personal information is being collected under the authority of the MD of Pincher Creek No. 9 as it directly relates to and is necessary for operating a program or activity of the MD. This collection is authorized by section 4 of the Protection and Privacy Act. For questions about the collection of personal information, contact the Privacy Officer at 403-627-3130, MD Box 279, Pincher Creek, Alberta T0K 1W0 / 1037 Herron Ave / P 403-627-3130 / F 403-627-5070 / info@mdpinchercreek.ab.ca.

Municipal District of Pincher Creek No. 9
Box 279
1037 Herron Avenue, Pincher Creek, AB T0K 1W0
Phone: 403-627-3130       Fax: 403-627-5070
Email: info@mdpinchercreek.ab.ca
Office Hours: 8:00am - 4:30pm M-F

Municipal District of Pincher Creek No. 9
Box 279
1037 Herron Avenue
Pincher Creek, AB T0K 1W0
Phone: 403-627-3130
Fax: 403-627-5070
Email: info@mdpinchercreek.ab.ca
Office Hours: 8:00am - 4:30pm M-F
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