Government of Ontario: Ministry of Transportation

Appointment of Agent By Owners in Territority Without Municipal Organization to Arrange Road Work with The Minister of Transportation

, Province of Ontario, hereby appoint of the of as my/our agent for the purpose of making an arrangement with the Minister of Transportation under The Public Transportation and Highway Improvement Act, for the improvement, maintenance or repair of the road situated in the said territory and described as follows:


And I/We hereby authorize him to pay to or receive from the Ministry of Transportation on my/our behalf any monies which may be required by such arrangement.

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Distribution: Original (to be forwarded to Manager of Operational Services), Agent’s Copy, Municipal Clerk MTO Copy, Field Services Engineers copy, Engineers or Sr. Municipal Supervisor.

Version française disponible

MR-A-53E (01/2007)

© Queen's Printer for Ontario, 2007