<%@ language=vbscript%> MRNF - Land rental and other rights - Request to use public land

Note to the applicant

  • Before completing the form, the applicant must communicate with a Department point of service to find out more about the availability of land and the relevant land use policies.

  • An applicant who finds an available plot that meets his or her needs may complete the application form on-screen and print it out. After signing it, the applicant must mail the application to the Department or deliver it to a Department point of service.

  • The application will be analyzed by Department personnel in accordance with certain criteria, such as:

    • the policies, directives and standards in force, as well as the development plans and programs applicable;
    • the type of request (rental, purchase, right-of-way, easement, exchange, etc.);
    • the planned use (building a cottage, developing a cross-country ski trail, etc.);

  • The Department has no obligation to give an applicant the right to use public land.

This form is not a registration form for the random draw and may not be used for that purpose.

 

GENERAL INFORMATION

Application processing fee

A cheque or postal order for $28.22 ($25 plus GST and QST) made out to the Minister of Finance of Québec must be included to cover the application processing fee.

Identification of applicant

A lease can be issued only to a single individual or legal person. Where the lease is to be issued to a group of individuals, the members of the group must designate a representative in whose name the lease will be established.

When the land is to be purchased by a group of individuals, the application must be submitted with the required information concerning the other members of the group.

1.
Information concerning the applicant

If you are already an MRNF client, indicate your
client number 

Mr. Ms.

Name  
Date of Birth  
 (Year                 Month                   Day)

Other (company, corporation, group, association, etc.)

Name of the company
Representative
(if applicable) : Name
Function
Address of applicant
(or representative)
  (Number          Street                                        Apartment)

     

  (City                Province                                 Postal Code)

Phone : Home
 
            Work
 
Fax
 
2.

Object of application

Lease Purchase Right of way Servitude Exchange
Other, specify

Land use and intended purpose

For example: land for the construction of a camp or cottage, land to extend an existing plot in order to meet municipal requirements (septic tank, land required for access, etc.)

Where the application concerns the extension of an existing plot, please include a copy of your current deed of ownership.

3. Land use and intended purpose

What is your current or projected use of the land?

The land will be used for a
purpose of the following type:
Private      Commercial      Industrial
                                           Community      Public utility

Location of land

Your application must include a sketch, an excerpt from a topographical map or a digital file showing the outline or area of the land covered by the application.

Additional information

For additional information, please contact the ministère des Ressources naturelles et de la Faune office in your region.

4.

Location of land (Provide the information requested, if known and if applicable)

Designation under the Cadastre of Québec
Lot number following cadastral renewal (above 1,000,000)
Cadastral designation prior to renewal
Township, seigniory, parish or river basin
Range, block, unsurveyed land 
Lot, parcel, part 
Other information
  Map sheet
  Name of lake 
  Municipality or MRC
GPS
  Projection :    UTM        MTM
  Datum :    Nad 27       Nad 83
  Coordinates : North    East
                      Latitude     Longitude
Map
5. Signature

I declare that all the above information is accurate.

_________________________________________ _____________________

(Signature)

(Date)

 


DEPARTMENT USE ONLY

Numéro de dossier |__|__|__|__|__|__|   |__|__|   |__|__|__| Numéro de client |__|__|__|__|__|__|__|__|   |__|__|__|
Plan d'eau ou projet : ______________________________ Feuillet cartographique : ________________________
Frais d'ouverture de dossier payés : Oui     Non Mode de paiement : Comptant    Chèque
Mandat poste
Remarque : _____________________________________________________________________________________