Application for a Minor Variance or Permission

The undersigned hereby applies to the Committee of Adjustment for the

City of Dryden

under Section 45 of The Planning Act, for relief, as described in this Application,

from By-law No. 2740-2000 (as amended).

Please note that fields marked with a red asterisk * are required fields.

If AGENT has been authorized by the Owner, please complete AGENT information section. If no Agent, then proceed to Official Plan section.

PLEASE PROVIDE A COPY OF YOUR DEED, IF REQUESTED. (If required, we will advise you).

Dimensions of LAND affected:

EXISTING BUILDINGS - STRUCTURES - Where there/are there any buildings or structures on the subject land?  If so, indicate for each:

PROPOSED BUILDINGS - STRUCTURES - Will there be any buildings or structures on the subject land?  Indicate the following for each:

OTHER APPLICATIONS - If known, indicate if the subject land is the subject of an application under the Act for:

1. Approval of a plan of subdivision (under Section 51)

2.  Consent (under Section 53)

3.  Previous application (under Section 45)

AUTHORIZATION BY OWNER

to act as my Agent with respect to the submission of this Application.

DECLARATION OF APPLICANT

(This section must completed in the presence of and be witnessed by a Commissioner of Oaths).

It is required that this the fee for this Application be paid prior to the application being processed.  The Minor Variance Application Fee can be found by viewing the Fees and Charges By-law and may be paid by cash, check, debit or credit card in person to the Building and Planning Department at 30 Van Horne Avenue.  If Planner's and/or legal fees are incurred by the City pertaining to this Application, the Applicant, by endorsing below, hereby agrees to submit the balance due, upon receipt of an invoice for same.

do solemnly declare that:  All the statements contained in this Application and provided by me 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 made under oath.

DECLARED before me at the                                )

of                               in the                                    )

of                                                                             )                                                                                   

this               day of                                      , 20    )                                Signature of Owner

              Signature of Commissioner, etc.

DECLARATION OF AGENT

(This section must completed in the presence of and be witnessed by a Commissioner of Oaths).

do solemnly declare that:  All the statements contained in this Application and provided by me 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 made under oath.

DECLARED before me at the                                )

of                               in the                                    )

of                                                                             )                                                                                   

this               day of                                      , 20    )                                Signature of Agent

              Signature of Commissioner, etc.

Personal information contained in this form, collected pursuant to The Planning Act, will be used for the purpose of responding to the initial Application.  Questions should be directed to the Freedom of Information Officer at the institution conducting the procedures under the Act.

In accordance with the provisions of the Plannint Act, it is the policy of the City of Dryden Planning Department to provide public access to all development applications and supporting documentation.  In submitting this development application and supporting documentation, I, the applicant, hereby acknowledge the above-noted and provide my consent in accordance with the provisions of the Municipal Freedom of Information and Protection of Privacy Act that the information on this applicaton and any supporting documentation provided by myself, my agents, consultants and solicitors, will be part of the public record and will also be available to the general public.

PLANS REQUIRED

IT WILL BE NECESSARY TO SUBMIT PRELIMINARY SITE PLANS FOR THE DEVELOPMENT AT THE TIME OF THE FILING OF THIS APPLICATION.

Minimum requirements will be a sketch showing the following:

1. The boundaries and dimensions of the subject land.
2. The location, size and type of all existing and proposed buidlings and structures on the subject land, indicating the distance of the buidlings of structures from the front yard lot line, rear lot line and the side yard lot lines.
3. The approximate location of all natural and artificial features on the subject land and on land that is adjacent to the subject land that, in the opinion of the applicant, may affect the application.  Examples include buildings, railways, roads, watercourses, drainage ditches, river or stream banks, wetlands, wooded areas, wells and septic tanks.
4. The current uses on land that is adjacent to the subject land.
5. The location, width and name of any roads within or abutting the subject land, indiciating whether it is an unopenend road allowance, a public travelled road, a private road or a right-of-way.
6. If access to the subject land is by water only, the location of the parking and docking facilities to be used.
7. The location and nature of any easement affecting the subject land. 

If you have any questions or require assistance, please contact Dhruv Mehta, Junior Planner by visiting the Building and Planning Department at 30 Van Horne Avenue, by email to dmehta@dryden.ca or by telephone to (807) 223-2225 ext 521.