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Emergency Care Establishment Exemption Request

Applicable Fee: $125.00

Municipal Law Enforcement & Licensing Services
The Corporation of The Town of Cobourg
55 King Street West, Cobourg ON K9A 2M2
905-372-8380
licensing@cobourg.ca

Personal information contained on this form is collected under the authority of Section 11 of the Municipal Act, 2001 will be used for administering the Municipal Law Enforcement and Licensing process. Questions concerning collection of personal information should be directed to the Municipal Clerk, 55 King Street West, Cobourg ON K9A 2M2 905-372-4301.

Rev 030824

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