1. Name of Appellant: ___________________________________________________
2. Address of Appellant: _________________________________________________

 

3. Notice is hereby given to the Subdivision and Development Appeal Board of this appeal against the decision (date) ______________________ of the Development Officer regarding Development Permit Application No. ______________________.
4. Development Proposal (description):

location (legal): ______________________________________________________

type of use: _________________________________________________________

decision: ___________________________________________________________

5. Reason for Appeal: (please attach additional sheets if required)

_________________________ _____________________________________

Date Appellant (or authorized person)

Mail or deliver to: THIS FORM MUST REACH THE

SECRETARY NO LATER THAN

The Secretary FOURTEEN DAYS AFTER THE

Subdivision and Development Appeal Board DATE OF NOTIFICATION BY

Municipal District of Smoky River THE DEVELOPMENT OFFICER.

P.O. Box 210

Falher, Alberta T0H 1M0 Date Received: __________________

Receipt No.: ____________________

Hearing Date: ___________________

FOR OFFICE USE ONLY