Oil Tank Information Search Consent Form

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Oil Tank Information
Search Consent Form
Victoria Fire Department
T 250.920.3360
Fire Prevention Division
E vfd@victoria.ca
1234 Yates Street
victoria.ca/fire
Victoria, BC V8V 3MB
Submit this form in person to City Hall at 1 Centennial Square, or to the Victoria Fire Department at 1234 Yates Street,
along with the $40 fee. Forms are not accepted by email or fax. Allow a minimum of two business days for processing.
Owner/Company: ____________________________________________________________________________________________________
_____________________________
PROPERTY OWNER’S LEGAL FIRST AND LAST NAME OR COMPANY NAME (AS REGISTERED ON TITLE)
PHONE
Owner/Company Address: ___________________________________________________________________________________________________________________________
UNIT
NUMBER
STREET
CITY
PROVINCE
POSTAL CODE
DECLARATION:
Please be advised that I _____________________________________________________________________________________________________________________________
REGISTERED OWNER/OFFICER
being the registered owner of _______________________________________________________________________________________________________________________
CIVIC ADDRESS (INCLUDE UNIT NUMBER FOR STRATA PROPERTIES)
give permission to ________________________________________________________________________________________
______________________________________
FIRST AND LAST NAME
PHONE
of _______________________________________________________________________________________________________________________________
COMPANY NAME (IF APPLICABLE)
to view and request copies of the oil tank information the Victoria Fire Deparment has on record for the address listed above.
Owner/Officer’s Signature: ________________________________________________________________________________
____________________________________
DATE (D/M/Y)
________________________________________________________________________________
PRINTED NAME
FEE: $40 plus GST.
Payment Options:
City Hall – cash, cheque, debit, credit card.
Victoria Fire Department – cash and cheque only.
Please make cheques payable to “City of Victoria”.
OFFICE USE ONLY
PAID
FILE SEARCH COMPLETED BY: ______________________________________________________________________________________________________________
Building Files
Digital Files
Copy to:
FINANCE DEPARTMENT
APPLICANT
VICTORIA FIRE DEPARTMENT
|
City of Victoria
OIL TANK INFORMATION SEARCH CONSENT FORM

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