Development Application Page 1
Amendment to the Official Plan/Zoning By-law
The Corporation of the Township of Oro-Medonte
Development Application
Amendment to the Official Plan and/or Zoning By-Law
Application No.: 2021- ___-__
Roll #: 4346___________0000
[ ] Application to amend the Official Plan of the Township
[ ] Application to amend the Comprehensive Zoning By-law of the Township
[ ] Application for a Temporary Use By-law
[ ] Application to Remove a Holding Provision
[ ] Application to amend the Comprehensive Zoning By-law as a Condition of Provisional
Consent
[ ] Application to amend the Comprehensive Zoning By-law to permit a “Bed and Breakfast
Establishment”
[ ] Other, please specify____________________________________________________
[ ] Amendment to the Zoning By-law for an adjustment to an Environmental Protection
Zone Boundary. No Zoning By-law Amendment application fee is required to adjust the
boundary of the Environmental Protection Zone on a parcel of land where the
adjustments are supported by the Conservation Authority and/or the Ministry of Natural
Resource and Forestry.
Development Application Page 2
Amendment to the Official Plan/Zoning By-law
[ ] I/We hereby apply, as specified above, to the Corporation of the Township of Oro-
Medonte. It is expressly understood that this application is in regard only to the lands as
hereinafter described, and is made pursuant to the provisions of The Planning Act,
R.S.O., 1990. All costs associated with the application shall be paid as per the Fees and
Charges By-law including all costs associated with an appeal of the application to the
Local Planning Appeal Tribunal.
[ ] I/We enclose herewith application and processing fees in the amount of $2,700.00 for an
amendment to the Official Plan ($1,200.00 is a refundable deposit in accordance with
the Fees and Charges By-law).
[ ] I/We enclose herewith application and processing fees in the amount of $2,700.00 for
an amendment to the Comprehensive Zoning By-law ($1,200.00 is a refundable deposit
in accordance with the Fees and Charges By-law).
[ ] I/We enclose herewith application and processing fees in the amount of $2,700.00 for a
Temporary Use By-law ($1,200.00 is a refundable deposit in accordance with the Fees
and Charges By-law).
[ ] I/We enclose herewith application and processing fee in the amount of $400.00 for a
Removal of Holding Provision.
[ ] I/We enclose herewith application and processing fee in the amount of $600.00 for an
amendment to the Comprehensive Zoning By-law based on a Condition of Provisional
Consent.
[ ] I/We enclose herewith application and processing fee in the amount of $600.00 for an
amendment to the Comprehensive Zoning By-law to permit a “bed and breakfast
establishment”.
Development Application Page 3
Amendment to the Official Plan/Zoning By-law
To be completed by the Applicant or Authorized Agent (Please print or type)
1. Name of Applicant ________________________________________________
Full Mailing Address ________________________________________________
________________________________________________
________________________________________________
Telephone Number ________________________________________________
Email ________________________________________________
2. Name of Applicant's Agent ________________________________________________
Full Mailing Address ________________________________________________
________________________________________________
________________________________________________
Telephone Number ________________________________________________
Email ________________________________________________
All correspondence and communications will be directed to the applicant's agent unless
otherwise specified. The authorized agent requires a written authorization from the
owner indicating they have the ability to act on behalf of the owner.
3. Full legal description of the property which is the subject of this Application including the
name of the former Municipality in which it is located, e.g. Lot 1, Concession 1, Township
of Orillia, and, if known, the area of the land covered by the proposed amendment. (A
copy of the Registered Deed/Transfer of Title for the subject lands is required to
be submitted with the application)
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Development Application Page 4
Amendment to the Official Plan/Zoning By-law
To be answered by the Applicant (Please print or type)
4. 4.1 Are you the registered owner of the subject lands? Yes____ No____
4.2 Do you act on behalf of the registered owner? Yes____ No____
4.3 Do you have an option to purchase the subject lands? Yes____ No____
4.4 If so, what is the expiry date of the Option? ______________
4.5 Have you an offer to Purchase or Agreement of Sale
in respect of the subject lands, or any portion thereof
with the Registered Owner? Yes____ No____
4.6 What is the expiry date of any Offer or Agreement
mentioned in 4.2.3? ______________
4.7 Is the above noted Option, Offer or Agreement
conditional on the success or failure of this Application? Yes____ No____
5. Present Official Plan designation(s) ____________________________________
6. Present Zoning By-law classification(s) ____________________________________
7. Present Use of subject lands _________________________________________
8. Proposed use of subject lands _________________________________________
9. Official Plan designation requested: _______________________________________
10. Zoning Classification requested: __________________________________________
11. Applicant's reason, argument and/or justification for requiring the proposed
Amendment(s) (attach a supplementary schedule if necessary).
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Development Application Page 5
Amendment to the Official Plan/Zoning By-law
12. Supplementary and supporting material to be submitted by the Applicant:
1. All information as required under the Township of Oro-Medonte Development
Guidelines or as identified through Pre-Consultation.
2. Planning Justification Report by a Registered Professional Planner.
3. Survey or site plan prepared by an Ontario Land Surveyor or qualified
professional showing:
[ ] Applicant's/Owner's total holdings of land in the subject area.
[ ] Land which is to be subject of the requested Amendment clearly indicated
thereon.
[ ] The location, size and use of all existing buildings or structures on the subject
lands and on immediately adjacent properties. All topographical features shall
also be shown.
[ ] The location, width and names of all road allowance, rights-of-ways, streets or
highways within or abutting the property, indicating whether they are public
travelled roads, private roads, rights-of-way or unopened road allowances.
[ ] Three (3) copies of any reports/studies, stamped/signed by a qualified
professional.
[ ] Three (3) copies of all drawings (full size).
[ ] One (1) digital copy of all drawings and reports in Adobe Acrobat.pdf format
(USB).
Each application must be accompanied by a sketch completed on blank paper in ink.
13. What other Agencies or individuals have been consulted with prior to the submission of
this Application? (eg. County of Simcoe Planning and/or Engineering, School Boards,
Ministry of Transportation, etc.)
____________________________________________________________________
____________________________________________________________________
Development Application Page 6
Amendment to the Official Plan/Zoning By-law
14. Is the subject land or any land within 120 m (400 ft) of the subject land the subject of
another Development Application made by the applicant for approval of an Official Plan
amendment, a Zoning By-law amendment, a Plan of Subdivision, a Minor Variance, a
Consent, or a Site Plan?
Yes____ No____
If yes, please state which type of application, if known, the application number, and
describe the lands which are subject to this application.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
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
If yes, please identify the WHPA/ICA?
b) 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
Only fully completed applications accompanied by the necessary supporting materials will be
processed.
It is acknowledged that the application will not be deemed to be complete until all of the
relevant prescribed information set out in the Schedule to Ontario Regulation 260//00
(formerly Ontario regulation 198/96) is submitted in accordance with Section 22(4) of the
Planning Act R.S.O. 1990 c.P. 13. In addition, it is acknowledged that the time periods
referred to in Section 22(7)(a) to (d) of the Planning Act, R.S.O. 1990 c.P. 13 do not begin
until it has been determined by the Township that all of the relevant prescribed
information set out in the Schedule to Ontario Regulation 260/00 (formerly Ontario
Regulation 198/96) is submitted in accordance with Section 22 (4) of the Planning Act,
R.S.O. 1990 c.P. 13.
Alternative formats are available upon request
Development Application Page 7
Amendment to the Official Plan/Zoning By-law
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)
Owner’s Authorization
If the applicant (agent or solicitor) is not the owner of the subject land, the following statement
must be completed authorizing the applicant to act on behalf of the owner(s) on matter
relating to the subject application.
I/We ________________________ as the owner(s) of _________________________ in the
Township of Oro-Medonte, County of Simcoe hereby authorize
__________________________ to act as my/our agent with respect to this application.
__________________________________
Signature of owner
__________________________________
Signature of owner
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Development Application Page 8
Amendment to the Official Plan/Zoning By-law
Declaration of Owner or Authorized Agent
DATED at the Township/Town/City__ of ___________________________ this ____ day
of ____________, 2021.
___________________________________________
(Signature of Applicant, Solicitor, or Authorized Agent)
I/We ________________________________________________of the Township/Town/City
of _____________________________ in the County/Region of_______________________,
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.
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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Development Application Page 9
Amendment to the Official Plan/Zoning By-law
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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