Applicant Contact Information. ⮚ Full Name (including middle name): ⮚ Home Phone: ⮚ Work Phone: ⮚ Mobile Phone: ⮚ Email address: ⮚ SSN: ⮚ Driver License: ⮚ Date Of Birth: Address History:
Applicant Contact Information. Name If Numbered Company, Please Provide Name of Principal Contact Person Address (Including Postal Code) Telephone Number Fax Number Email Application For: Commercial Residential Municipal Recreational Public Utility Other Application To: Construct Maintain Repair Move Existing Alter - Other Remove Classification Change Change in Ownership Date of Service Description of Works: The following Works are within the limits of a County Road. The Works will be in place until removal or relocation is requested by the County of Grey. If removal or relocation is requested, such removal/relocation shall be at the sole expense of the Applicant, unless covered under the Public Service Works on Highways Act. Worksite Location: Property Owner Name Property Owner Telephone Number Grey Road Number or Road Name Located on Which Side of Road (N/E/S/W) Distance From Nearest Intersecting Road Name of Nearest Intersection Road Nearest Civic Address Number Amalgamated Municipality Concession Number Lot Number Former Township City / Town Work Crosses: OVER the County Road UNDER the County Road The County Road at GRADE LEVEL Work is on the Right-Of-Way for a Distance of feet / metres. Distance of Works from Center Line feet / metres. From Property Line feet / metres. Depth of Works Below Grade of County Road Center Line feet / metres. Length and Diameter of Pipe / Culvert, if any feet / metres. If Application is for a water line or sewer approved by or subject to the approval of the Ministry of the Environment or for a water pipe line or sewer in which this Ministry is involved in any way: Approval Received Approval Not Received Not Applicable Please provide a copy of approval with Application. Indicate which, if any, of the following will be affected: Road Drainage Trees, Shrubs, Plantings Guide Rail Signs Nil Four (4) copies of a detailed plan and profile, drawn to scale and the specifications of the encroachment showing the proposed work, location, materials, reinstatement of County property and how the work will be conducted, must accompany each application. The Applicant understands that:
Applicant Contact Information. The contact information for the Applicant is as follows: Hecate Energy Cider Solar LLC Xxxxxxxx Xxxx, Development Manager 000 X Xxxxxxxx Xxxxxx Chicago, IL 60661 (000) 000-0000 XxxxxXxxxx@XxxxxxXxxxxx.xxx
Applicant Contact Information. [mm/dd/yyyy] : _______________________________________________ : _______ : _______________________________________________ *(a) First Name *(b) Last Name *(c) Date of Birth *(d) Telephone
Applicant Contact Information. MAILING ADDRESS CITY STATE ZIP TELEPHONE: ( ) - EMAIL: (if any): Farm Information: COUNTY: AGRICULTURAL ENTERPRISE AREA: ACREAGE OF ENTIRE FARM (including all land under common ownership): ACRES TO BE COVERED BY AGREEMENT*:
Applicant Contact Information. From the Application Forms screen select Applicant Contact Information. Provide the school district/system, grant, and fiscal personnel information as specified in the form. Click the Save button at the top of the screen. Go to the bottom of the screen and click the “Add” button located on the right side of the screen to list the names and positions of any Other Key Individuals who will be directly involved in the planning, management, or day-to-day operation of this grant. Click the Save button at the top of the screen. Repeat the “Add” and Save process to complete the Other Key Individuals list. Click the Mark As Complete button. You will be redirected to the Application Forms page of the report. To preview your application, click on the Preview button. Demographic & Geographic Data From the Application Forms screen select Demographic & Geographic Data. Click the “Add” button located on the right side of the screen to enter the requested information. Click the Save button at the top of the screen. Click the Mark As Complete button. You will be redirected to the Application Forms page of the report. To preview your application, click on the Preview button. Narrative From the Application Forms screen select Narrative (SCRIPT). Tell us which SCRIPT Workshop you attended or plan to attend. If the workshop you are looking for is not listed please contact Xxxxxx Xxxxx, xxxxxx.xxxxx@xxxx.xxx. Then select whether you want reimbursement of substitute or stipend pay. Administrator stipends will be covered as permitted by local contracts. The maximum sub pay amount is $150/day, based on the district’s regular rate. The maximum stipend amount is $20/hour or $160/day, based on the district’s regular rate. Click the Save button at the top of the screen. Click the Edit button at the top of the screen to make corrections or updates; click the Save button at the top of the screen to save your changes.
