3. Nature of Interest:* Description Document Reference Person entitled SECTION 219 ENTIRE INSTRUMENT TRANSFEREE RESTRICTIVE COVENANT PAGES # - ##

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1 FORM C Province Of British Columbia GENERAL DOCUMENT Page 1 OF ## PAGES 1. Application (name, address, phone number and signature of applicant, applicant's solicitor or agent) 2. Parcel Identifier(s) and Legal Description(s) of Land:* (PID) (Legal Description) SEE SCHEDULE 3. Nature of Interest:* Description Document Reference Person entitled (page & paragraph) to interest SECTION 219 ENTIRE INSTRUMENT TRANSFEREE RESTRICTIVE COVENANT PAGES # - ## 4. Transferer(s):* 5. Transferee(s): (including occupation(s), postal address(es), and postal code(s))* DISTRICT OF MISSION, A MUNICIPAL CORPORATION, 8645 STAVE LAKE STREET, PO BOX 20, MISSION, B.C. V2V 4L9 6. Execution(s):** By signing this document you are affecting the land in the manner described in item 3. Officer Signature(s) Execution Date Party(ies) Signature(s) Y M D [OWNER], by its authorized signatory/ies * SEE FORM D Officer Certification: Your signature constitutes a representation that you are a solicitor, notary public or other person authorized by the Evidence Act, R.S.B.C. 1979, c. 116, to take affidavits for use in B.C. and certifies the matters set out in Part 5 of the Land Title Act as they pertain to the execution of this instrument. * If space insufficient, enter "See Schedule" and attach schedule in Form E ** If space insufficient, continue executions on additional page(s) in Form D

2 FORM D EXECUTIONS CONTINUED Officer Signature(s) Execution Date Party(ies) Signature Y M D [OWNER], by its authorized signatory/ies * DISTRICT OF MISSION * MAYOR CLERK *Officer Certification: Your signature constitutes a representation that you are a solicitor, notary public or other person authorized by the Evidence Act, R.S.B.C. 1979, c. 116, to take affidavits for use in B.C. and certifies the matters set out in Part 5 of the Land Title Act as they pertain to the execution of this instrument.

3 FORM D EXECUTIONS CONTINUED ENTER THE REQUIRED INFORMATION IN THE SAME ORDER AS THE INFORMATION MUST APPEAR ON THE FREEHOLD TRANSFER FORM, MORTGAGE FORM, OR GENERAL DOCUMENT FORM. 2. PARCEL IDENTIFIER(S) AND LEGAL DESCRIPTION(S) OF LAND:* (PID) (Legal Description)

4 FORM E SCHEDULE Page of RESTRICTIVE COVENANT (Section 219 Land Title Act) THIS AGREEMENT made the day of, 200, BETWEEN: AND: (hereinafter called the "Covenantor") OF THE FIRST PART WHEREAS: THE DISTRICT OF MISSION, under the "Municipal Act", having its offices at 8645 Stave Lake Street, in the District of Mission, in the Province of British Columbia, V2V 4L9 (hereinafter called the "Covenantee") OF THE SECOND PART A. The Covenantor is the owner of and proposes to erect a new dwelling to replace the existing dwelling unit on that parcel or tract of land and premises located within the District of Mission, in the Province of British Columbia, and more particularly known and described as: Parcel Identifier: (hereinafter called the "said lands") pursuant to the Zoning Bylaw of the Covenantee; B. One of the conditions of obtaining the consent of the Covenantee for the issuance of a building permit for the construction of such new dwelling pursuant to the said Zoning Bylaw is the execution of this Agreement by the Covenantor. NOW THEREFORE THIS AGREEMENT WITNESSETH that pursuant to Section 219 of the Land Title Act, and in consideration of the premises and the mutual covenants and agreements contained herein and the sum of One ($1.00) Dollar now paid to the Covenantor by the Covenantee (the receipt and sufficiency whereof is hereby acknowledged), the parties hereto covenant and agree each with the other as follows:

5 Page of 1. THE COVENANTOR COVENANTS AND AGREES with the Covenantee: (a) that the existing dwelling unit situated on the said lands may continue to be used temporarily as a residence by the Covenantor solely for dwelling purposes while the new dwelling is being constructed on the said lands until occupancy of the second dwelling; (b) that the existing dwelling unit within the period of 60 calendar days from occupancy of the new dwelling thence ensuing shall be demolished or moved from the said lands and the Covenantor hereby undertakes to carry out and complete the said demolition or removal as required hereby, which will be without further written notice from the Covenantee to the Covenantor and to ensure that the said lands and the buildings and use thereof thereon conform in all respects to the requirements of the remaining Building and Zoning Bylaws of the Covenantee; (c) i) that if the existing dwelling unit is not removed or demolished from the said lands in accordance with this Agreement, the Covenantee shall give to the Covenantor, in writing, 30 calendar days notice to remove or demolish the existing dwelling, and following that, the Covenantee enter the property may demolish the existing dwelling unit at the sole cost of the Covenantor. It is understood that the Covenantee may demolish the existing dwelling unit either by itself or by contractors employed by it; ii) if by the expiration of notice required in subsection i) the existing dwelling has not been demolished and/or removed from the property, the lands and premises shall not be used for any purpose until the existing dwelling unit has been demolished and/or removed. (d) to save harmless and effectually indemnify the Covenantee against all actions and proceedings, costs, damages, expenses, claims and demands whatsoever and by whomsoever brought by reason of the failure by the Covenantor to remove or demolish the existing dwelling unit on the said lands pursuant to this Agreement; and (e) to do or cause to be done, solely at the expense of the Covenantor, all acts reasonably necessary to grant priority to this Agreement over all charges and encumbrances which may have been registered against the title to the said lands in the New Westminster Land Title Office save and except those specifically approved in writing by the Covenantee or in favor of the Covenantee. 2. IT IS MUTUALLY UNDERSTOOD, agreed and declared by and between the parties hereto that: (a) the Covenantee has made no representations, covenants, warranties, guarantees, promises or agreements (oral or otherwise) with the Covenantor other than those contained in this Agreement. (b) nothing contained or implied herein shall prejudice or affect the rights and powers of the Covenantee in the exercise of its functions under any public or private statute, bylaw, order or regulations, all of which may be fully and effectively exercised in relation to the said lands as if this Agreement had not been executed and delivered by the Covenantor; (c) the covenants set forth herein shall charge the said lands pursuant to Section 219 of the Land Title Act and shall be covenants the burden of which shall run with the said lands. It is further expressly agreed that the benefit of all covenants made by the Covenantor herein shall accrue solely to the Covenantee and that this Agreement may be modified by agreement of the Covenantee with the Covenantor, or

6 Page of discharged by the Covenantee, pursuant to the provisions of Section 219(9) of the Land Title Act; (d) wherever the singular or masculine is used herein, the same shall be construed as meaning the plural, feminine or the body corporate or politic where the context or the parties so require; (e) this Agreement shall enure to the benefit of and be binding upon the parties hereto and their respective heirs, executors, administrators, successors and assigns, and; (f) the parties hereto shall do and cause to be done all things and execute and cause to be executed all documents which may be necessary to give proper effect to the intention of this Agreement; (g) time is of the essence.

7 Page of MEMORANDUM AS TO ENCUMBRANCES, LIENS AND INTERESTS Holder of Mortgage registered in New Westminster Land Title Office under # CONSENT The undersigned, being the holders of the encumbrance or entitled to the lien or interest referred to in the memorandum above written, hereby approve of, join in and consent to the granting of the within Agreement and doth covenant and agree that the same shall be binding upon its interest in or charge upon that said lands and shall be an encumbrance upon the said lands prior to the above noted Mortgage in the same manner and to the same effect as if it had been dated and registered prior to the said Mortgage. EXECUTED this day of, 200. SIGNED, SEALED AND DELIVERED ) by the above named in the ) presence of: ) ) ) Name: ) ) Address: ) ) Occupation: ) (As to both signatures) )

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