About the Municipal Board

Building Restriction Caveats
Consent Form

I/We,        (neighbours)                          of the City/Municipality/Town of                            , in the Province of Manitoba, residing at:        (legal description)        , commonly known as:      (street address)   , hereby consent to the Application of                                  to Vary/Discharge the Building Restriction Caveat No.                      as the Caveat affects the following:
(legal description)
commonly known as:                        (street address).
Dated this               (date), 2011.
Witness   Signature of person consenting
Witness          Signature of person consenting