Application for Development Permit

Name

Address

Please include town/city

Phone

Please enter a valid phone number.

Postal Code

Name

Address

Please include town/city

Phone

Please enter a valid phone number.

Postal Code

LSD or 1/4

Sec

Twp

Rge

Lot(s)

Block

Reg. Plan #

Frontage (Metres)

Depth (Metres)

Area (Metres)

Area (Metres Sq. /ha)

Existing User of Land and Buildings

Proposed use of land

Proposed construction and alteration of buildings

Proposed Start Date

Date

Proposed Finish Date

Date

Other Information (eg. Proposed sewer system, etc.)

Are there other dwellings of commercial used located on this quarter section?

For new construction, a site plan on a separate sheet showing, where applicable, (check those shown and attach) the following:

Dimensions of the site Location and size of all existing and proposed buildings and features Utility Lines, easements or topographical features Proposed location if sewage system and water supply Access points to provincial highway or municipal road

Upload files checked above

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This permit may be subject to a Road Use Agreement.

I, , of the Type a label of Type a label in the province of Type a label
Solemnly declare that the above statement contained within this application are true and I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if make under oath, and by the virtue of the Canada Evidence Act.

Date

Signature

Clear

NOTE: The applicant is responsible for ensuring buildings comly with The Uniform Buildings and Accessibility Standards Act, where applicable.

Application For Development Permit

Applicant

Registered Owner

Property

Site

Declaration of Applicant