Required fields are marked with asterisks (*)

Quinte Conservation Payment for Severance Comments (3 New Lots):

Payment Due $1,350

Your application will not be processed and comments will not be sent to the County/ Township/ Municipality until payment has been made.

What are your Municipal planning file numbers?

What is your Quinte Conservation file number(s) (in email with payment details, if provided)?

Name of landowner on application:

Agent/ alternate contact (if applicable):

Address of the property in question:

Email address (to send confirmation of payment):

Phone number (in case of payment issues):

Please select a method of payment:

Visa or Mastercard paid online (preferred)

Debit payment paid in person at Quinte Conservation 2061 Old Highway 2, Belleville ON K8N 4Z2

Cheque payable to Quinte Conservation delivered or mailed to 2061 Old Highway 2, Belleville ON K8N 4Z2