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The Corporation of the Township Of Oro-Medonte Site (Township of Oro Medonte)

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The The Corporation of the Township Of Oro-Medonte Site (Township of Oro Medonte) form is 16 pages long and contains:

  • 9 signatures
  • 18 check-boxes
  • 71 other fields

Country of origin: CANADA
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Site Plan Application Page 1
The Corporation of the Township Of Oro-Medonte
Site Plan Application
Submission No. 2021-SPA-___
Roll #: 4346___________0000
Municipal Address _____________________________
Application for Site Plan Approval
[ ] I/We enclose herewith application and processing fees in the amount of $2,000.00
for a Site Plan Approval for buildings/additions up to 500 square metres of gross
floor area as defined in Township’s Zoning By-law. ($1,000.00 of which is a
potentially refundable deposit).
[ ] I/We enclose herewith application and processing fees in the amount of $6,500.00
for a Site Plan Approval for buildings/additions over 500 square metres of gross
floor area as defined in the Township’s Zoning By-law. ($5,000.00 of which is a
potentially refundable deposit).
Application for Site Plan Revision
[ ] I/We enclose herewith application and processing fees in the amount of $775.00
for a Site Plan Revision (includes $275.00 registration fee).
Application for Site Plan Agreement on Unassumed/Private Road for a Residential
Dwelling or for a Bed & Breakfast Establishment
[ ] I/We enclose herewith application and processing fees in the amount of $800.00
for a Site Plan Approval regarding Private or Unassumed Roads or for a Bed &
Breakfast Establishment (includes $300.00 registration fee).
Application for Site Plan Agreement for Model Home Agreement
[ ] I/We enclose herewith application and processing fees in the amount of $2,000.00
for a Site Plan Approval for Model Home (includes $1,000.00 refundable deposit).
Site Plan Application Page 2
It is recommended that you consult with the Township prior to submitting your
application. Please also ensure you have reviewed the Site Plan Application
Guidelines.
Site Plan Application Checklist
Please ensure you have completed the following prior to submitting your Application:
• Application form completed in full
• Signed application and obtain signed authorization from the Owner(s) if you
are acting as Agent
• Application Fee
• Three (3) full size copies of all drawings in accordance with the requirements
of the application form.
• Copy of any correspondence, approvals or permits form outside
agencies/departments
• Three (3) copies of all studies and reports required to be submitted with your
application
• Digital copies of all documents shall be submitted to the Township in Adobe
Acrobat.pdf format
• Copy of Deed of Transfer showing legal description of the subject lands and
name(s) of registered owner of the property and any/all Mortgages
• Copy of Survey
Note: The Township and/or reviewing Agencies may request additional paper
copies of reports/plans.
A complete application will be determined in accordance with the requirements of the
Planning Act, Township of Oro-Medonte Official Plan, Township of Oro-Medonte Site
Plan Control By-law 2015-086, Site Plan Application Guidelines and Development
Engineering Policies, Process and Design Standards.
The Township’s Site Plan Application Guidelines and Development Engineering Policies,
Access and Design Standards can be found at: http://www.oro-medonte.ca/municipal-
services/planning-information/development-applications-guidelines, or may be obtained at
the Township Office.
Site Plan Application Page 3
Please be advised that technical and supporting studies submitted as part of a
completed application may be required to be peer reviewed. If a Peer review is
required, the cost will be at the expense of the applicant in accordance with the
Township’s Fees and Charges By-law. To expedite the processing of your application,
please ensure it is completed prior to submission. Incomplete applications will be
returned for re-submission. Incomplete applications will not be held at the Township
office.
Only fully completed applications accompanied by the necessary supporting materials
and fees will be processed and are considered complete applications. Please refer to the
Site Plan Application Guidelines for a complete list of information requirements.
Alternative formats are available upon request.
Site Plan Application Page 4
To be completed by the owner or authorized agent
Please print or type:
1. Name of owner ________________________________________________
Full Mailing Address ________________________________________________
________________________________________________
Telephone Number ________________________________________________
E-mail ________________________________________________
2. Name of Authorized Agent (if applicable) ___________________________________
Full Mailing Address ________________________________________________
________________________________________________
Telephone Number ________________________________________________
E-mail ________________________________________________
3. Please specify to which of the following all communications should be sent:
[ ] owner [ ] agent [ ] solicitor
4. Full legal description of the property which is the land subject of this application
including name of former municipality in which it was located. (e.g. Lot 1, Concession
1, Township of Orillia).
_______________________________________________________________________
_______________________________________________________________________
A copy of the Land Transfer or Deed to the satisfaction of the Township is required
to verify legal description at the time of the initial application being submitted)
Site Plan Application Page 5
5. To be answered by the Applicant
5.1 Are you the registered owner of the subject lands? Yes_____ No____
5.2 Do you act on behalf of the registered owner? Yes_____ No____
5.3 Do you have an option to purchase the subject lands? Yes_____ No____
5.4 If applicable, what is the expiry date of the Option as mentioned in 5.3?
__________________
5.5 Have you made an offer to Purchase or Agreement of Sale in respect of the
subject lands, or any portion thereof with the Registered Owner?
Yes____ No___
5.6 If applicable, what is the expiry date of any Offer or Agreement as
mentioned in 5.5? _____________________
5.7 If applicable, is the Offer or Agreement as mentioned in 5.5 conditional on
the success or failure of this Application? Yes_____ No_____
5.8 Do you have an offer to lease the subject lands? Yes_____ No_____
6. Present Official Plan designation(s) ________________________________________
7. Present Zone classification(s) ____________________________________________
8. Present Use of subject lands _____________________________________________
9. Proposed use of subject lands ____________________________________________
10. Details of buildings/structures proposed (e.g. gross floor area, number of storeys,
uses within building/structures)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Site Plan Application Page 6
11. Type of road access (e.g. provincial highway, county road, municipal road –
maintained year round, municipal road – seasonal, other public road, right of way, or
water) proposed:
_______________________________________________________________________
_______________________________________________________________________
12. What type of water supply is proposed?
Municipally owned/operated [ ]
Privately owned/operated [ ]
Individual Well [ ]
Communal Well [ ]
Lake [ ]
Other (specify)_____________________________________________________
13. What type of sewage disposal is proposed?
Municipally owned/operated [ ]
Privately owned/operated [ ]
Individual Septic Tank [ ]
Communal Septic Tank [ ]
Privy [ ]
Other
(specify)__________________________________________________________
14. What other Provincial Ministries or other Agencies or individuals have been consulted
prior to the submission or Application? (e.g. Ministry of Environment, School Boards,
District Health Unit, County Engineer, etc.)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Site Plan Application Page 7
15. Southern Georgian Bay Lake Simcoe Source Protection Plan
a) Is the subject land within a Wellhead Protection Area (WHPA) or an Issue
Contributing Area (ICA)?
Yes No
b) If yes, please identify the WHPA/ICA?
c) If yes, do you have an Approved Risk Management Plan (RMP) and/or a
Section 59 Notice to Proceed from the Risk Management Official (RMO)?
(Please attach the document you have).
Yes No
Permission to Enter
I/We _________________________________________________________________
(Print Name of Owner(s))
Authorize the Development Services Committee and The Township of Oro-Medonte
staff to enter the subject lands for the limited purposes of evaluating the merits of this
application.
__________________________________
__________________________________
Signature of owner(s)
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Site Plan Application Page 8
I/we _____________________________________of the ________________________
of _________________________in the ________________ of ____________________
hereby apply, as previously specified, to the Corporation of the Township of Oro-
Medonte. It is expressly understood that this application is in regard only to the lands
described, and is made pursuant to the provision of The Planning Act, 1990. I
understand that the personal information on this form is being collected pursuant to the
Planning Act, R.S.O., 1990 c.P.13 and will be used in relation to the processing of this
development application. I solemnly declare that all the statements contained in this
application 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 and by
virtue of the Canada Evidence Act.
DATED at the _______________________ of ___________________________this
______ day of __________________, 2021.
_____________________________________________
(Signature of Applicant, Solicitor, or Authorized Agent)
DECLARED before me at the )
of )
in the of )
this day of 2021 )
___________________________________________
(Signature of Applicant, Solicitor, or Agent)
________________________________
A Commissioner, etc.
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Site Plan Application Page 9
Freedom of Information and Privacy
Personal information contained in this form, collected and maintained pursuant to Section
53 of the Planning Act, will be used for the purpose of responding to the Application and
creating a public record. The Owner’s Signature acknowledges that “personal information
[is] collected and maintained specifically for the purpose of creating a record available to
the general public;” per Section 14(1)(c) of the Municipal Freedom of Information and
Protection of Privacy Act, R.S.O. 1990, c. M. 56.
The applicant acknowledges that the Township considers the application forms and all
supporting materials, including studies and drawings, filed with this application to be all
public information and to form part of the public record. With the filing of an application,
the applicant consents to the Township photocopying and releasing the application and
any supporting material either for its own use in processing the application, or at the
request of the third party, without further notification to or permission from the applicant.
The applicant also hereby states that it has authority to bind its consultants to the terms of
this acknowledgement. Questions regarding the collection of information should be
directed to the Director of Development Services at the Township of Oro-Medonte at
(705)-487-2171 ext. 2123.
______________________________________ ___________________
Signature of Owner Date
______________________________________ ___________________
Signature of Owner Date
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Site Plan Application Page 10
Authorization by Owner
If the Applicant is not the Owner of the subject land of this Application, the written
authorization of the Owner stating that the Agent is authorized to make the Application on
their behalf must be included with this application form or the authorization set out below
must be completed.
If the Owner is an incorporated company, authorization of the appropriate signing
officer(s) is required in accordance with the company’s by-laws.
I/We, _______________________________ the undersigned being the Registered
Owner(s) of the subject land, hereby authorize ________________________________
to act as my Agent with respect to the preparation and submission of this Application.
__________________________ ________________________
Signature of Owner Date
(if Corporation, I have the authority
to bind the Corporation)
__________________________ ________________________
Signature of Owner Date
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The Corporation of the Township Of Oro-Medonte Site (Township of Oro Medonte)

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Completed 6 April 2021

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