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License of Occupation Application

Encroachment in the Road Right of Way

Application Fee

In accordance with Policy No. 120-08, every application for a License of Occupation shall be accompanied by an annual fee of $200 prior to consideration of the application for the use of the Road Right of Way. Payment can be made to the Cashier at City Hall located at 4420-50 Avenue, Lloydminster, Alberta or by telephone at 780-875-6184 ext. 2129.

Collection and Use of Personal Information:

Your name, mailing address, phone number, email address are collected under the authority of section 25 of the Local Authority Freedom of Information and Protection of Privacy Act. This information will be used for the purpose of administering the license of occupation application. If you have any questions about this collection, contact the Office of the City Clerk at 780-871-6184 or email cityclerk@lloydminster.ca

Applicant Information

Applicant's First and Last Name:

Business Name:

Mailing Address:

City:

Province:

Postal Code:

Phone number:

Email:

Site #1 Information

Closest Municipal Address:

New or Existing Encroachment:

Setback from edge of road (ft.):

Setback from sidewalk or path (ft.):

Site Plan Required (Site plan shall be an aerial view outlining property lines, setbacks, utility right-of-way and distances.)

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If you would like to include any additional documentation, please upload it here:

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png and tif

Encroachment Information

Types of Encroachment:

Size (w. x h.) in ft.:

The maximum duration for a License of Occupation is for a two (2) year term, invoiced annually.

Sign Installation Date:

Sign Removal Date:

Additional Information:

Would you like to enter information for another site?

Yes