Site Plan Control Application

INSTRUCTIONS TO APPLICANTS:

This application is to be used for all applications for Site Plan Agreements within the Town of Espanola. The application form requests information that will assist the Town and others in their planning evaluation of the proposal. To ensure the quickest and most complete review, this information shall be submitted at the time of application.

Only a complete application will be accepted. An application which is not considered to be complete under the Planning Act is not subject to the timelines of the Act. As a result, the application may be deferred or refused. Any measurements are to be in metric units. The applicable application fee must accompany the application. If the application is not complete and/or the fee not provided, the Town may return the application.

1. Applicant Information

1.1 Name of Owner(s). An owner’s authorization is required in Section 10 & 11, if the applicant is not the owner.

Name of Owner(s) *

Home Tel. No.

Business Tel. No.

Mailing Address

Postal Code

Text

1.2 Applicant / Agent: Name of the person who is to be contacted about the application, if different than the owner. (This may be a person or firm acting on behalf of the owner).

Name of Contact Person/Agent *

Home Tel. No.

Business Tel. No.

Mailing Address

Postal Code

2. Location of Subject Land

2.1 Geographic Township

Parcel No.

Lot/Section

Concession

Registered Plan No.

Lot(s) / Block(s)

Reference Plan No.

Part No.

Civic Address

Lot Area (m2 or ha)

Frontage (m)

Depth (m)

Text

2.2 Are there any mortgages, charges or other encumbrances in respect of the subject land? If Yes, indicate the names and addresses of the holders.

Mortages, Charges, Other Encumbrances

YesNo

3. Land Use

3.1 What is the current Official Plan designation of the subject land and how does this application conform to the Official Plan?(maps are available at the municipal office for verification) *

3.2 What is the current zoning of the subject land? (maps are available at the municipal office for verification) *

3.3 If known, what are the existing uses of the subject land, and how long have these uses continued?

3.4 Are there any buildings or structures on the subject land?

YesNo

3.4.1 If yes and known, provide the following for each building or structure

Format: TYPE/USE OF STRUCTURE, LOT LINE SETBACKS(m) FRONT/REAR/SIDES, HEIGHT(m), FLOOR AREA, DATE CONSTRUCTED

3.5 What are the proposed uses of the subject land?

3.6 Are there any buildings or structures proposed to be built on the subject land?

YesNo

3.6.1 If yes, provide the following for each proposed building or structure

Format: TYPE/USE OF STRUCTURE, LOT LINE SETBACKS(m) FRONT/REAR/SIDES, HEIGHT(m), FLOOR AREA, DATE CONSTRUCTED

5. Adjacent Land Uses

5.1 What are the present land uses of properties adjacent to the subject land?

To the northTo the eastTo the southTo the west

6. History of the Subject Land

6.1 If known, has the subject land ever been the subject of an application for a site-specific zoning bylaw/zoning bylaw amendment or a Minister’s Zoning Order (if so, indicate Ontario Regulation number of that order)

6.2 Is the subject land the subject of an application for approval of a plan of subdivision or a consent under the Planning Act?

YesNoUnknown

If Yes, and if known, provide the Ministry’s application file number and the status of the application.

7. Sketch

7.1 This application must be accompanied by a sketch. See Appendix 1 for Drawing Requirements.

Sketch

8. Other Information

Is there any other information that you think may be useful for the review of this application?

9. Affidavit or Sworn Declaration of Applicant(s)

9.1 Affidavit or Sworn Declaration for the Information set out in this Application

I/we, make oath and say (or solemnly declare) that the information contained in this application is true and that the information contained in the documents that accompany this application are true.

Signature(s)

Use full name(s) as a placeholder for signature.

Signature Date

10. Consent of the Applicant / Owner(s)

10.1 Complete the consent of the owner(s) concerning personal information set out below.

Consent of the Applicant / Owner(s) to the Use and Disclosure of Personal Information

I/we, am/are the applicant / owner(s) of the land that is the subject of this application for a Site Plan Agreement and for the purposes of the Freedom of Information and Protection of Privacy Act, I/we authorize and consent to the use by or the disclosure to any person or public body of any personal information that is collected under the authority of the Planning Act for the purposes of processing this application.

Signature of Applicant(s) / Owner(s)

Use full name(s) as a placeholder for signature.

Signature Date

11. Authorization for Agent

11.1 If the applicant is not the owner of the land that is the subject of this application, the written authorization of the owner(s) that the applicant is authorized to make the application must be attached to this application, or the authorization set out below must be completed.

Authorization of Owner(s) for Agent to Make the Application

I/we, am/are the owner(s) of the land that is the subject of this application for Site Plan Agreement and I/we authorize to make this application on my/our behalf.

Signature of Owner(s)

Use full name(s) as a placeholder for signature.

Signature Date

Contact Email(s):

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

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