Right of Entry Agreement Amendment Request

If you have an executed Right of Entry Agreement that:

Is not being used within the specified time frame identified in the agreement, please notify the City in advance of the agreement’s expiry date, so that an amendment to the Right of Entry agreement can be made and issued for the revised dates
Differs from the project scope described in the original Right of Entry Agreement, please apply for a new Right of Entry Agreement

Applicant Information

Business Name

First Name

Last Name

This email address will receive further instruction once the form has been submitted.

Original Right of Entry Agreement File Number

Will the amended agreement be for the same property and land area outlined in the original Right of Entry Agreement?

YesNo

New Application Required

Please do not continue or submit this form. If the amendment is being requested for a different property or land area as outlined in the original Right of Entry Agreement, please apply for new Right of Entry Agreement.

Is the scope of work different from the original Right of Entry Agreement?

YesNo

New Application Required

Please do not continue or submit this form. Changes to the scope of work will require that a new Right of Entry application be submitted. Please go the Right of Entry Application and submit your new details there.

What is the expiry date on the original Right of Entry Agreement?

Has there been continued use of the City land area, past the expiry date indicated within the original Right of Entry Agreement?

YesNo

What is your proposed new end date?

Please do not submit this form, your request does not meet the correct criteria.

Personal information is collected for the purpose of the Facility and Land Inventory Management Unit reviewing the request to amend an existing Right of Entry Agreement and will be used to connect with and provide services to applicants. Collection is authorized under section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act and is managed and protected in accordance with the Act. If you have questions about the collection, please contact Chantal Villecourt, Supervisor of the Facility and Land Inventory Management Unit, 10 Floor, Edmonton Tower, 10111 104 Avenue NW, Edmonton AB T5J 0J4, 780-983-0960, or chantal.villecourt@edmonton.ca.