P-9.002, r. 2 - Regulation respecting archaeological research

Schedule Disposition versions

2012-09-01

FORM 24

(s. 2)

APPLICATION FOR AN ARCHAEOLOGICAL RESEARCH PERMIT

(to be completed in duplicate)

Applicant

Name: ________________________________ Given name: ________________________________

Address: ______________________________ Telephone No: ______________________________

Site:

Description of the research site or place:

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Location of the research site or place:

City and local municipality: ____________________________________________________________

Physical boundaries (civic number, cadastral, geographical or other designation):

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Description of the state of the place:

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Nature of known or presumed occupation:

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Have you already submitted an application for an archaeological research permit?

If yes, give the file number: ____________________________________________________________

The undersigned requires an archaeological research permit for the areas specified in his application.

For this purpose the documents and information required under sections 2 and 3 of the Regulation respecting archaeological research (chapter P-9.002, r. 2) are annexed hereto in support of this application for a permit.

The undersigned certifies that the documents and information submitted to the Minister are true and exact, and makes this declaration consciously believing it to be true and knowing that it has the same force and effect as if made under oath under the Canada Evidence Act (R.S.C. 1985, c. C-5).

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Signature of applicant

At _________________________________________________________________________________

this _____________________________________________________________________________ day

_____________________________________________________________________ 20__________

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The Minister of Culture, Communications and the Status of Women acknowledges receipt of the application for an archaeological research permit bearing our file number _____________________________

Québec, this ___________________________ day of ___________________________ 20__________

Minister of Culture, Communications and the Status of Women,

Per: ________________________________________________________________________________

ARCHAEOLOGICAL RESEARCH PERMIT

Upon study of and based on the documents and information furnished, the Minister hereby issues a permit valid for 1 year, effective _________________________________________________________

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The permit holder is authorized to carry out archaeological research at the following places:

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The permit holder shall carry out the archaeological research in accordance with his application for a permit and the Regulation respecting archaeological research.

The study and verifications prior to the issuance of such permit were made under the responsibility of

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The permit is issued at Québec, this _________________________________________________ day of _______________________________________________________________________ 20__________

Minister of Culture, Communications and the Status of Women.

R.R.Q., 1981, c. B-4, r. 2, Form 24.