Rural Address Application Form - County of St. Paul

A Rural Address is a standard form of addressing that will allow emergency services such as police, fire, and ambulance to find your residence in the case of an emergency. Also known as a 911 address. This address is assigned by County of St. Paul and shared with Telus 911 for the purpose of emergency dispatch.
Your Rural Address is NOT your mailing address. Canada Post assigns your mailing address and postal code.
The personal information collected through this Application Form is authorized under Section 4(c) of the Protection of Privacy Act (POPA). For questions about the collection of personal information, contact the County of St. Paul ATIA/POPA Coordinator at 780-645-3301.
SECTION A – CONTACT INFORMATION
Applicant*
First Last
Contact Name*
First Last
Phone Number*
Alternate Phone Number
Email*

SECTION B – SITE INFORMATION
Legal Land Description. Please provide us with as much detail as possible.

Need help finding your property details to fill in this form? To find your lot, block, plan, acreage details & roll number, please pull from your most recent Property Assessment & Tax Notice as sampled & highlighted below:
1/4
Section
Twp
Rng
W of 4th M. Lot
Block
Registered Plan
Parcel Size

SECTION C – APPROACH INFORMATION, AND SITE INFORMATION
Rural Addresses are assigned based on the approach or access point into your property or subdivision off of a municipal road, such as a township road or range road. In order to assign a Rural Address, a precise distance to the approach from a known point, such as an intersection or quarter line, must be provided.
Is there an existing approach into the parcel or subdivision?*
- Yes
- No (if “No“ contact Public Works at 780-645-3006)
Is there an existing residence on the parcel?*
- Yes
- No
How many residences will there be on the parcel?*
Is the access approach off of a:*
- Range Road
- Township Road
- Highway
- Subdivision Road

SECTION C – APPROACH INFORMATION, AND SITE INFORMATION
Describe, by writing in the first box, the distance from a known point to the approach or access. This description should correspond with an accompanied site plan, using the second box.
1. The most important piece of information is the “access” or “approach” location off of the municipal road. Please indicate with an accurate measurement (in meters or feet) the distance from a known location, such as an intersection or quarter line, to the approach. Indicate directions and side of road.
2. Clearly label all roads.
3. Indicate the approximate location of the residence on the property. If applicable, show the location of multiple dwellings.
4. Measurements must be recorded in either meters or feet.
The distance (in meters or feet) from a known point.
The distance (in meters or feet) from a known point.
Rural Address – Sitemap Drawing

Rural Address Application