Fillable Official Plan Amendment Application (Dufferin County)

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Official Plan Amendment Application (Dufferin County)

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The Official Plan Amendment Application (Dufferin County) form is 4 pages long and contains:

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Official Plan Amendment Application
Page 1 of 4
Applicant and Ownership Information (include contact information for all that apply)
Applicant Owner Agent Solicitor Consultant
Primary
Contact
(select one)
☐ ☐ ☐ ☐ ☐
Name
Given Name
Surname
Company
Name
Address
Street
Address
Unit
PO Box
Rural Road
Municipality
Contact
Tele.
Number
Fax Number
Email
Property Information
Number of Applicable Parcels (e.g. mark “1” if just one property/parcel is affected): ___________________ _
Common Name (e.g. “Fred’s Farm”): ____________________________________________________________ Legal Description
(Full legal description of property)
Reference
Municipal Address
Reference Plan Registered Plan Block
Property Identification Number (PIN) Assessment Roll Number (ARN)
Official Plan Amendment Application
Page 2 of 4
Lot Con
Size of Property (ha)
Instruments
Easement:☐ Agreement:☐ Restrictive Covenant: ☐
Mortgage: ☐
Date: _________________________
Parties To
Current Land & Use
Area Depth Frontage
Entire
Affected
Type Year
Improvements
(Building
Structures)
Current Historic
Use
Roads
Access
Sewage Storm Drainage Water
Servicing
☐ Private Well
☐ Communal Well
☐ Municipal
☐ Other:______________
☐ Private Septic
☐ Communal System
☐ Municipal
☐ Other:______________
☐ Sewer
☐ Ditches
☐ Swales
☐ Other:______________
Agriculture
Nutrient Plan Number: Date Approved by OMAFRA
Official Plan Amendment Application
Page 3 of 4
Livestock Facilities (Complete if there are any livestock facilities within 500 metres of the subject lands
Animal Type
Barn dimensions of all barns
capable of housing livestock
Number of tillable
hectares of farmland
Type of manure storage
Planning Status
County Official Plan Designation Local Official Plan Designation
Applicable Zoning By-law Zone
Historic Planning Act Applications affecting the
Property Type File Number
Provincial Frameworks
☐ Greenbelt Plan Area
☐ Niagara Escarpment Plan Area
☐ Oak Ridge Moraine Conservation Plan
☐ Employment Area
☐ Greater Golden Horseshow Growth Plan Area
☐ Within Settlement Area
☐ Within Built Boundary
Purpose of Proposed OPA
Description of Proposed Application
Proposed County Official Plan Designation and/or Amendment
Official Plan Amendment Application
Page 4 of 4
Affected County Official Plan Sections
Draft OP Amendment Text and Schedule Revisions
The information collected on this form is collected under the authority of the Planning Act for the purpose of
submitting an Official Plan Amendment Application. Specific questions relating to the Municipal Freedom of
Information and Protection of Privacy Act can be directed to the Director of Planning, Economic Development
and Culture, County of Dufferin at 519-941-2816 x4010.
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Official Plan Amendment Application (Dufferin County)

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Completed 8 April 2021

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