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FILE SEARCH REQUEST FORM NOTE Please COMPLETE the questions below in order that Manitoba Conservation can effectively respond to your request for information as to outstanding Licenses Orders or Violations etc. against the indicated property. A cheque or money order in the amount of 94. 50 90. 00 4. 50 G*S*T. made payable to the Minister of Finance must accompany this request. We will endeavor to respond to your request within 30 calendar days of receipt. Please direct all inquiries and return the completed form along with your payment to Environmental File Searches Manitoba Conservation Box 85 200 Saulteaux Crescent Winnipeg MB R3J 3W3 GST Registration R107863847 Telephone 945-7098 Fax 945-2385 1. Applicant Name Company Name Address Telephone E-mail Fax 2. If you are representing someone else respecting this request please provide the following information not the property being searched Business/Individual Name Legal Name if different from above a BUSINESS NAME OF PRESENT OR PREVIOUS TENANT who is/was actually on the subject property not numbered company name MUST BE INCLUDED If this is a shopping centre/strip mall please provide complete list of tenants 3. a Legal description of property involved STREET ADDRESS INCLUDING CITY/TOWN RURAL MUNICIPALITY OF PROPERTY INVOLVED MUST BE INCLUDED Please provide a diagram if civic/numerical address is not available b 4. What information is being requested - please be as specific as possible If known and if applicable please indicate what legislation the information being requested pertains to The Environment Act The Contaminated Sites Remediation Act The Dangerous Goods Handling and Transportation Act Livestock Manure and Mortalities Management Regulation we only provide information on the above for Rural properties 5. For what purpose is the information required i*e* arrangements etc* sale of business/property financing 6. Type/description of business/operation presently being carried out on subject property if not currently in operation and if known please identify past business/operation carried out on subject property 7. Description of intended use of subject property Request Date Signature of Requestor PLEASE NOTE THAT INCOMPLETE FORMS WILL CAUSE A DELAY IN THIS SEARCH BEING PROCESSED. A cheque or money order in the amount of 94. 50 90. 00 4. 50 G*S*T. made payable to the Minister of Finance must accompany this request. We will endeavor to respond to your request within 30 calendar days of receipt. Please direct all inquiries and return the completed form along with your payment to Environmental File Searches Manitoba Conservation Box 85 200 Saulteaux Crescent Winnipeg MB R3J 3W3 GST Registration R107863847 Telephone 945-7098 Fax 945-2385 1. We will endeavor to respond to your request within 30 calendar days of receipt. Please direct all inquiries and return the completed form along with your payment to Environmental File Searches Manitoba Conservation Box 85 200 Saulteaux Crescent Winnipeg MB R3J 3W3 GST Registration R107863847 Telephone 945-7098 Fax 945-2385 1. Applicant Name Company Name Address Telephone E-mail Fax 2. If you are representing someone else respecting this request please provide the following information not the property being searched Business/Individual Name Legal Name if different from above a BUSINESS NAME OF PRESENT OR PREVIOUS TENANT who is/was actually on the subject property not numbered company name MUST BE INCLUDED If this is a shopping centre/strip mall please provide complete list of tenants 3.

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