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Municipal Drainage - Financing Request

In accordance with the Town of LaSalle's Municipal Drainage Billing and Collection Policy, affected land owners have the option to finance the cost of their drainage assessment for a period of up to 15 years depending on the amount of their assessment.

To request financing of your Municipal Drainage Assessment, please complete and submit the following form.

Contact Information

First Name

Last Name

Street Address

City/Town

Postal Code

Primary Phone Number

Email Address

Invoice Information

Please reference the sample drainage invoice below to find the location of the required information.

What is the amount noted on your invoice?

Roll Number

Personal Information Privacy Statement: Personal information collected on this form is collected pursuant to the Municipal Drainage Billing and Collection Policy and applicable bylaws. Information will be used for the administration of the municipal drainage financing process. Questions about the collection of this information should be directed to the Director of Council Services/Clerk, and can be reached at 519-969-7770 ext. 1223.

I have read and understand the above Privacy Statement.

Yes