Minor Variance Application

APPLICATION FOR MINOR VARIANCEOR FOR PERMISSION

DATE RECEIVED:

APPLICATION NO:

The undersigned hereby applies to the Committee of Adjustment for the CORPORATION OF THE TOWN OF ESPANOLA, under Section 45 (2)(a) of the Planning Act, for relief, as described in this application, from

Bylaw no: *

Owner Information

Name of Owner *

Municipal Address: *

P.O. Box No: *

Telephone No.: *

Authorized Agent or Solicitor

Name of owner’s authorized agent of solicitor (if any): *

Municipal Address: *

P.O. Box No:

Telephone No.:

Please specify to whom all communications should be sent:

Owner:

Solicitor:

Agent:

Nature and extent of relief applied for:

Why is it not possible to comply with the provisions of the bylaw?

Legal Description of Subject Land: *

Town: *

Roll #: *

Lot: *

Concession: *

Plan: *

Part(s): *

Dimensions of Land Affected:

Frontage: *

Avg. Depth: *

Area: *

Particulars of buildings and structures on or proposed for the subject land:(specify: ground floor area, gross floor area, number of stories, etc.)

EXISTING:

PROPOSED:

Particulars of buildings and structures on or proposed for the subject land:(Specify distance from side, rear and front lot lines)

EXISTING:

PROPOSED:

Date of acquisition of subject land: *

Date of construction of all buildings and structures on subject land: *

Existing uses of the subject property: *

Existing uses of abutting properties: *

Length of time the existing uses of the subject property have continued: *

Municipal services available *

(check appropriate space or spaces):

Present Official Plan provisions applying to the land:

Present Zoning Bylaw provisions applying to the land:

Has the owner previously applied for relief in respect of the subject property?

YesNo

If the answer is yes, describe briefly

Is the subject property the subject of a current application for consent under Section 52 of the Planning Act, 1983?

YesNo

Signature of Owner *

Please enter your full name. This will be used in place of a signature.

Signature of Applicant or Authorized Agent (if applicable)

Please enter your full name. This will be used in place of a signature.

Signature of Commissioner (if applicable)

Please enter your full name. This will be used in place of a signature.

Date

Contact Email(s):

Enter contact emails to receive a copy of your submission (comma separated).

Captcha *