Site Plan Control Application

The undersigned hereby applies to the Corporation of the Township of North Dundas for site plan approval under Section 41 of the Planning Act, R.S.O. 1990 and By-Law 65-98.

Date of application:

File #:

A) Applicant Information

1. Name of owner:

Address:

City/Town:

Postal code:

Phone:

Office:

Fax:

1a. Name of agent:

Mailing address:

City/Town:

Postal code:

Phone:

Office:

Fax:

B) Property Information

2. Municipal address:

City/Town:

Postal code:

Legal description:

Lot:

Concession:

Part:

Plan #:

Lot size:

Frontage: metres

Depth: metres

Lot area: metres²

C) Planning Information

3. Current official plan designation:

4. Current zoning designation:

5. Is the access to the subject land by:

6. What is the existing use(s) of the subject property and building?

7. What is the proposed use of subject property and building?

8. Existing use of abutting properties:

North	South	East	West
row1a	row1b	row1c	row1d

9. Is drainage provided by sewers, ditch, swales, or other means?

D) Parking Space Calculation

Measurement	Existing Buildings	Proposed Buildings	Total
Gross floor area (m²)	row1a	row1b	row1cc
Gross floor area (ft²)	row2aa	row2bb	row2cc
No. of spaces required by Zoning By-law	row3aa	row3bb	row3cc
No. of handicapped spaces included in above totals	row4aa	row4bb	row4cc

E) Cost Estimates for Site Improvements

To be prepared by a qualified professional engineer or similar individual based on the proposed site plan.

10. Please state estimated cost of all required on-site improvements (excluding building and land costs).

A letter of credit for 50% of these costs is required prior to the signing of the Site Plan Agreement.

Type of Improvement	Cost Estimate
1. Sodding / seeding:	one $
2. Planting (trees and shrubs):	two $
3. Fencing and retaining walls:	three $
4. Asphalt and pavement markings:	four $
5. Driveway access, parking and loading areas:	five $
6. Curbs:	six $
7. Sidewalks, walkways, and ramps:	seven $
8. Site lighting:	eight $
9. Garbage vault or collection area enclosure:	nine $
10. Private well:	ten $
11. Septic system:	eleven $
12. Storm drainage facilities:	twelve $
13. Road widening and road cuts:	thirteen $
14. Signs:	fourteen $
15. Engineering costs:	fifteen $
Total:	total $

F) Declaration

11. The following declaration must be completed:

I/We,

of the

in the District of / Municipality of / County of

solemnly declare that all the statements contained in this application and all the supporting documents are true, and I make this solemn declaration conscientiously believing it to be true and complete, and knowing that it is of the same force and effect as if made under oath, by virtue of the "Canada Evidence Act".

Date:

Applicant signature:

Sign above

Applicant signature:

Sign above

Please note that:

Unless otherwise requested, all information will be sent to the agent, if any.
If jointly owned, both owners must apply and sign.
The fees are payable in cash or by cheque, payable to the Corporation of the Township of North Dundas and must be presented with this application.
If you have any questions, you can call the Planning and Building Department at (613) 774-2105.

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A) Applicant Information

B) Property Information

C) Planning Information

D) Parking Space Calculation

E) Cost Estimates for Site Improvements

F) Declaration

Please note that:

View the checklist to ensure that you have included all of the required information.

Alerts

Site Plan Control Application

A) Applicant Information

B) Property Information

C) Planning Information

D) Parking Space Calculation

E) Cost Estimates for Site Improvements

F) Declaration

Please note that:

View the checklist to ensure that you have included all of the required information.