Required fields are marked with asterisks (*)

TOWNSHIP OF ESSA

MOVING AND HEAVY LOAD PERMIT - E-Commerce Form

Please complete this form if you'd like to submit an application for a Moving - Heavy Load Permit. 

Mandatory fields are marked with asterisks(*).

Please be advised that a service charge of 2.9% is applied by the service provider Bambora to cover processing costs for payments made using credit cards.

Please be advised that this permit is not valid until you have received confirmation from the municipality that your request has been approved with a valid Permit No.  

Permits are issued after payment is provided to the Public Works Department.

Please select the appropriate permit that you are applying for:
 
Please advise on the number of vehicles associated with this permit.
 
A description of the vehicles associated with this permit is required. How are you providing your list?
 
Which roads does your permit request apply to?
 
Insurance documents are required to be filed before a permit can be issued. How will you be providing your insurance documents to staff?
 
Please check each statement confirming that you have read and understand each statement
 

By signing this document, I hereby acknowledge that I have read and understand the terms and conditions outlined in this application.  I agree to comply with all terms therein.

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