HomeMy WebLinkAboutGrow Op Schedule E - Certification FormSchedule E
CERTIFICATION FORM
City of Maple Ridge Revised 2015-05-19
11995 Haney Place, Maple Ridge, BC V2X 6A9 Tel: 604-467-7311 Fax: 604-467-7461
Inspection Requests: inspectionrequests@mapleridge.ca
Web Site: www.mapleridge.ca Inquiries at: permits@mapleridge.ca
TO: The City of Maple Ridge
FROM: "INSERT NAME OF PROFESSIONAL HERE"
RE: Premises located at "INSERT ADDRESS" , Maple Ridge
This is to certify that in accordance with sections Error! Reference source not found. and Error! Reference
source not found. of the "Grow Operation, Health, Nuisance and Safety Bylaw, No. 6274 - 2004", the
professional identified in this certification:
(a) meets the requirements for a professional inspector under Section Error! Reference source not
found. of the bylaw;
(b) has completed an inspection of the Premises on (date); and
(c) the Premises are remediated in accordance with Section 16 and as such, are substantially free
from any pesticides, toxic chemicals, moulds, or fungi normally associated with and found in a
“Grow Operation” premises, and that the Premises are fit for human use and occupancy.
The undersigned professional may be contacted at: "insert business phone number" .
CERTIFIED AS OF ____________ (insert date)
(insert name of professional inspector)
________________________
Authorized Representative