Fillable Lodging house certification application (City of Guelph)

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Lodging house certification application (City of Guelph)

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The Lodging house certification application (City of Guelph) form is 2 pages long and contains:

  • 5 signatures
  • 14 check-boxes
  • 24 other fields

Country of origin: CANADA
File type: PDF

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Building Services Page 1 of 2
519-837-5615, building@guelph.ca (revised August 2015)
Lodging house certification
application
A. Project address
Project address, including unit number:
Municipality: Postal code:
Number of bedrooms:
B. Owner information
Corporation or partnership (if applicable):
Last Name: First Name:
Primary residence, including unit number:
Municipality: Postal code:
E-mail: Phone number:
C. Declaration of owner
I (print name) certify that:
1. I am the owner of the lodging house located at the above noted address.
2. I hereby make this application to recognise the lodging house with the City of
Guelph.
Date:
Signature of owner:
Collection of Personal Information
Personal information is being collected and will be used for the purposes of verifying
ownership and responding to the request.
Personal information, as defined by Section 2 of the Municipal Freedom of
Information and Protection of Privacy Act (MFIPPA), is collected under the authority
of the Municipal Act, 2001, and in accordance with the provisions of MFIPPA.
If you have questions about the collection, use or disclosure of this personal
information please call 519-822-1260 extension 2349 or email privacy@guelph.ca.
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Page 2 of 2
Alternate formats of this document are available as per the Accessibility for
Ontarians with Disabilities Act by contacting Building Services at 519-837-5615 or
email building@guelph.ca.
For use by Principal Authority
Folder number:
Inter-office inspections and approvals
Zoning Services
☐ 100 metres
☐ Parking ☐ Interview
☐ Approved date: Signature:
☐ Not approved, reason:
☐ Pending approval, reason:
Building Services
☐ Approved date: Signature:
☐ Not approved, reason:
☐ Not applicable
Comments:
Fire Department
☐ Approved date: Signature:
☐ Not approved
☐ Not applicable, reason:
Formal certification date of lodging house
☐ Lodging house – zoning only
☐ Lodging house – full use
Date:
Signature of Chief Building Official or designate:
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Lodging house certification application (City of Guelph)

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Completed 6 May 2021

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