C ROWN LAND INFORMATION MANAGEMENT CENTRE PO BOX 698

 GENERAL PERMIT VIOLATION FORM PART I PERMITTEE INFORMATION
CONTEXTUAL INFORMATION – KOREA MAIN ECONOMIC LAND USE
CONTEXTUAL INFORMATION – PORTUGAL MAIN ECONOMIC LAND USE

  APPLICATION FORM AND PERSONAL INFORMATION SHEET IF
IMPLEMENTING INFORMATION GOVERNANCE QGEA IMPLEMENTING INFORMATION GOVERNANCE FINAL JUNE
INFORMATION MANAGEMENT WORK PLAN GUIDELINE QGEA INFORMATION MANAGEMENT WORK

Crown Land Information Management Centre

CC ROWN LAND INFORMATION MANAGEMENT CENTRE PO BOX 698 rown Land Information Management Centre

P.O. Box 698, 1701 Hollis Street, Halifax, Nova Scotia, B3J 2T9

Fax: 424-7068 E-mail: [email protected]

Phone: 424-3171



Information Request Form

Please complete as much information as possible to allow us to serve you


Date:

    


Client Type: Business Transaction Government Department General Public

Nature of Inquiry: Parcel Migration Determine Ownership Genealogy

Legal Action Historical Research Private Land Dispute

Sale of Land Other Publication Research

Other Academic Research

Determine Ownership

Tourism Research

Other


Name/Company/Department:

     

Address:

     

Phone:

     

Fax:

     

E-mail:

     

Business Need:

     

Business Need Date:

(see estimated processing times on back)

     

Index Sheet:

     

PID:

     

Grantee Name:

     


Method of Request: In Person Letter Mail E-mail Phone Fax

Method of Delivery: Pick up Delivery E-mail Fax


Requested Information (please use specific document number if available, i.e. grant number):

     

CC ROWN LAND INFORMATION MANAGEMENT CENTRE PO BOX 698 rown Land Information Management Centre

P.O. Box 698, 1701 Hollis Street, Halifax, Nova Scotia, B3J 2T9

Fax: 424-7068 E-mail: [email protected]

Phone: 424-3171


Estimated Processing Times

Business Transaction Requests: 3 business days

Government Department/Agency Requests: 10 business days

Other Requests: 90 business days


Document and Service Fees

Service fee: $33.63/hr Copy of other documents (per 11” x 17” sheet): $1.12

Copy of grant: $6.73 Certificate with seal: $6.73

Copy of plan: $1.12 sq. ft. Microfiche copy of grant book or consolidated index: $28.02

*Plus applicable sales taxes CD-rom charge for digital copies: $2.25


Terms of Use

The Department of Natural Resources is committed to protecting the privacy of people whose personal information is held by the Nova Scotia Government through responsible information management practices under the authority of the Freedom of Information and Protection of Privacy Act. Personal information is retained in accordance with approved Nova Scotia Government standards for retention under the authority of the Nova Scotia Government Records Act. The personal information collected is limited to that required to carry out the request and is used only to the extent necessary.


Acceptance of Agreement:

By signing below you acknowledge that you have read and agreed to the terms outlined and understand that your acceptance is required to process your request (if submitted by email a signature is not required):

Name:

     

Signature:

     

Date:

     


Internal Use Only

Action Taken:

     

CLIMC Staff Assigned:

     

Date Completed:

     

Cost of Documents: $

     

Hours Charged:

     

Service Fee: $

     

Total Before Tax: $

     

Tax Charged: $

     

Total Fee: $

     

Research Required

Research Tracking Number:

     

Page 2 of 2 Version 2.0 – February 22, 2010



INFORMATION SECURITY INTERNAL GOVERNANCE GUIDELINE PUBLIC QGEA INFORMATION
PKCS 15 CRYPTOGRAPHIC TOKEN INFORMATION FORMAT STANDARD (DRAFT) 54
X PLEASE COMPLETE THE REQUIRED INFORMATION IN ADDITION THE


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