Region of Waterloo Form

Required fields are marked with asterisks (*)

Application for an Access Closure

Note: Access to a Regional Road must comply with the provisions of the Region of Waterloo Controlled Access By-law #58-87 and the Policy and Procedures for Access onto a Regional Road, as ameded from time to time.


Owner Contact Information

Is the Applicant different from the Owner information provided?

Location of Access

Where there is no address, describe location by adjacent physical features, like north, south, etc.

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