Rural Lane Blading

Cartwright-Roblin Municipality offers 1 (one) free rural lane blading per year on each rural property. To request yours, please submit a work request

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	<fields>
		<field type="paragraph" subtype="blockquote" label="All requests will be reviewed by Council at their monthly meetings.  " class="paragraph"></field>
		<field type="date" required="true" label="Date Submitted " class="form-control calendar" name="date-1656967815487"></field>
		<field type="text" subtype="text" required="true" label="Applicant's Name" class="form-control text-input" name="text-1656967798442"></field>
		<field type="text" subtype="text" required="true" label="Property Owner's Name " class="form-control text-input" name="text-1656968072047"></field>
		<field type="text" subtype="text" required="true" label="Applicant's Email Address " class="form-control text-input" name="text-1656967830724"></field>
		<field type="text" subtype="text" required="true" label="Applicant's Phone Number " class="form-control text-input" name="text-1656967848943"></field>
		<field type="text" subtype="text" required="true" label="Benefitting Property Location " class="form-control text-input" name="text-1656967980480"></field>
		<field type="text" subtype="text" required="true" label="Road Allowance (yes or no) " class="form-control text-input" name="text-1658942685651"></field>
		<field type="text" subtype="text" required="true" label="Rural Winter Lane Snow Clearing (yes or no)" description="You may request a lane snow clearing of a rural lane.  Rural snow clearing is done at a cost billed directly to the party who made the request. " class="form-control text-input" name="text-1673903504457"></field>
		<field type="text" subtype="text" required="true" label="Lane Blading - done in spring, summer or fall  (yes or no) " description="Property owners are entitled to one FREE lane blading a year, each additional lane blade will be billed to the property owner" class="form-control text-input" name="text-1673903376942"></field>
		<field type="textarea" required="true" label="Details of the work requested and reasoning for the work requested " description="example: widening of approach so that machinery can get through" class="form-control text-area" name="textarea-1656968137331"></field>
		<field type="text" subtype="text" required="true" label="Upstream / Downstream landowner's name(s) &amp;amp; phone number(s)" class="form-control text-input" name="text-1658942785514"></field>
		<field type="text" subtype="text" required="true" label="Have the upstream / downstream landowners been contacted " class="form-control text-input" name="text-1656968225445"></field>
		<field type="text" subtype="text" required="true" label="Has Manitoba Conservation; Climate been contacted in regard to this project? (www.gov.mb.ca/sd/water/water-rights/drainage-and-water-control/index)" class="form-control text-input" name="text-1662999889912"></field>
		<field type="paragraph" subtype="blockquote" label="Each landowner is entitled to one approach per 1/2 mile at no cost.   I acknowledge I may be invoiced as follows:    ___Widen first approach no culvert  $450    ___Widen first approach with culvert  $700    ___Widen additional approach no culvert  $900 ___Widen additional approach with culvert  $1400 ___New first approach with or without culvert  $0 ___New additional approach no culvert  $1600 ___New additional approach with culvert  $2100" class="paragraph"></field>
		<field type="text" subtype="text" required="true" label="I acknowledge and agree that there may be a cost to my project as requested" description="Write Yes or No" class="form-control text-input" name="text-1658945728243"></field>
	</fields>
</form-template>

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