Thank you for helping us update our Green Spaces Environmentally Sensitive Areas Inventory

Victoria Natural History Society
P.O. Box 5220, Stn. B,
Victoria, BC, V8R 6N4.

Your contact information:

First Name Surname
Address
City
Postal Code Evening Phone Number

Email

ESA Information:

 

Area Name:

Existing ESA:

 

New ESA:

Municipality:

Trim Map (if known):

Special Features of Significance:

Vegetation Type:

Wildlife Values:

Habitat:

Concerns:

Information Sources:

Date (YYYY/MMM/DD) (e.g. 2007May17):

You may want to print a copy of this form for your records before you submit it.

   

Victoria Natural History Society,
P.O. Box 5220, Stn. B,
Victoria, BC, V8R 6N4.