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Collection Statement
Personal Information on this form is collected pursuant to Section 11 of the Municipal Act, 2001. It is to be used for the purpose of County customer service and administration. Any questions regarding the collection, use and retention of personal information on this form can be directed to the Clerk's office, County of Perth, 1 Huron Street, Stratford Ontario N5A 5S4, 519-271-0531 ext. 210.
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