Region of Waterloo Form

Required fields are marked with asterisks (*)

Application and Payment for an Residential Access Permit

Farm, Single Family Detached and Semi-detached (Duplex)

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.

Access Permits are $100 ea., Visa and Mastercard accepted. 

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.


Please check all that apply.

Please check all that apply:

Access Details

Plans must be submitted for approval.

Culvert required?

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