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Township of Oro-Medonte
Application for Consent
The undersigned hereby applies to the Development Services Committee for the
Township of Oro-Medonte under Section 53 of the Planning Act; RSO, 1990 for consent
as described in this application.
Please read the following before completing and filing this application:
1. Only complete applications, which include the appropriate sketches, will be
processed.
2. All submissions shall be accompanied by one (1) digital copy in Adobe
Acrobat.pdf format (USB).
3. Pursuant to the Township of Oro-Medonte Tariff of Fees By-law, applicants will be
responsible for any and all costs associated with this application including costs
incurred in the event of an appeal to the Local Planning Appeal Tribunal.
4. One (1) copy of this application must be filed with the Township together with the
required sketch, accompanied by a fee for the consent application and the septic
system review application in the amount of $1,000.00 per lot, in cash or by cheque
made payable to the "Township of Oro-Medonte". This fee is non-refundable.
5. An additional fee will be applicable if the subject application is within the
Conservation Authority regulation limit. Payment must accompany the
application and made payable to Conservation Authority. Lake Simcoe
Region Conservation Authority (LSRCA) fee is $525.00. Nottawasaga Valley
Conservation Authority (NVCA) fee is $300.00. Additional fees may apply.
All fees are subject to change.
6. Any amendments/deferrals/recirculation to the application will require a $250.00
fee.
7. If the application is signed by an agent or solicitor on behalf of the applicant, the
owner’s written authorization (contained herein) must be completed. If the
applicant is a corporation acting without an agent or solicitor, the application must
be signed by an officer of the corporation and the corporation’s seal must be
affixed and Articles of Incorporation provided.
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8. Each application must be accompanied by a sketch completed on blank paper in
black ink, showing:
(a) abutting land owned by the grantor, its boundaries and dimensions;
(b) the distance between the subject lands and the nearest Township lot line or
appropriate landmark (e.g., bridge, railway crossing, etc.);
(c) the parcel of land that is the subject of the application, its boundaries and
dimensions, the part of the parcel that is to be severed, the parcel that is to be
retained and, where (if applicable) the location of all land previously severed;
(d) the approximate location of all natural and artificial features on the subject land
(e.g., buildings, railways, highways, watercourses, drainage ditches, banks,
slopes, swamps, wooded areas, wells, and septic systems) and the location of
any of these features on adjacent lands which may affect this application;
(e) the use of adjoining land (e.g, residential, agricultural, cottage, commercial,
etc.);
(f) the location, width and names of all road allowances, 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;
(g) the location and nature of any restrictive covenant or easement affecting the
subject land;
(h) an arrow indicating north;
(i) if the lot to be conveyed is intended to be used as a residential building lot and
it abuts agricultural land, indicate the distance from any agricultural structures
(e.g., barns, etc.);
(j) Applicant to verify that sewage system meets minimum required setbacks as
per Part 8 of the Ontario Building Code; and,
(k) Failure to provide complete and accurate information on the sketch or
the application form may result in a delay of the application.
9. The applicant is responsible for posting the provided notification sign on the
subject property and for staking the boundaries of the proposed lot line(s)
on the day the sign is posted.
10. The owner/applicant must post the provided sign in a location that is clearly
visible from the road and approachable to be read by the public, and provide
photos to the Township by e-mail to planning@oro-medonte.ca to verify that the
sign posting has been completed by the date noted on the attached 2021
Development Services Committee Schedule (see attached).
11. The applicant or a representative is required to attend the scheduled
hearing.
12. Alternative formats are available upon request.
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Application No. 2021-B- ___
Roll No. 4346__________0000
1. Location of Subject Lands:
Concession No._______ Lot(s)_______ Reg'd. Plan No.____________
Lot(s)________ Municipal Address________________________________
2. Name of Registered
Owner(s)____________________________________________________
Address______________________________________________________
Postal Code______________
Telephone No.(s)_____________________________________
E-mail _____________________________________________
Length of time property has been owned: ____________ years.
3. Name of owner's solicitor or agent ___________________________________
Address__________________________________________________________
Postal Code______________Telephone No.(s)___________________________
E-mail ________________________________
. Please specify to which of the following all communications should be sent:
[ ] owner [ ] agent [ ] solicitor
4. a) Type and purpose of proposed transaction:
Conveyance Other
[ ] creation of new lot [ ] mortgage or charge
[ ] addition to a lot/boundary adjustment [ ] lease
[ ] technical severance [ ] easement, right-of-way
[ ] validation of title
(S.57 of the Planning Act)
[ ] Other:_____________________________________________________
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REASON FOR APPLICATION: ____________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
b) Name of person(s) to whom land or interest in land is to be conveyed,
leased, mortgaged, etc.
___________________________________________________________
c) Relationship (if any) of persons named in (3b) to owner (specify nature
of relationship (eg: purchaser, lessee, mortgagee, etc.)
__________________________________________________________
5. Description of land intended to be conveyed (severed):
Frontage_______________ Depth________________
Area__________________________
Existing use__________________Proposed use_________________________
Number and use of buildings and structures (both existing & proposed) on the
lands to be conveyed:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
6. Description of land intended to be retained:
Frontage_______________ Depth________________
Area__________________________
Existing use____________________ Proposed use________________________
Number and use of buildings and structures on the land to be retained:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
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7. Number of new lots (not including retained lot) proposed:
________________________
8. 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) for the proposed lot:
_______________________________________________________________
Retained lot:
_______________________________________________________________
9. Present Official Plan designation(s) applying to the land:
____________________________
10. Present Zoning By-law designation(s) applying to the land:
___________________________
11. What type of water supply is proposed?
Proposed Lot Retained Lot
Municipally owned/operated [ ] [ ]
Privately owned/operated [ ] [ ]
Individual Well [ ] [ ]
Communal Well [ ] [ ]
Lake [ ] [ ]
Other (specify)_____________________________________________________
12. What type of sewage disposal is proposed?
Proposed Lot Retained Lot
Municipally owned/operated [ ] [ ]
Privately owned/operated [ ] [ ]
Individual Septic Tank [ ] [ ]
Communal Septic Tank [ ] [ ]
Privy [ ] [ ]
Other
(specify)__________________________________________________________
13. a) Has the owner previously severed any land from this holding or has any
land been previously severed from this holding?
[ ] yes [] no
b) If yes, indicate previous severance(s) on the required sketch and supply
the following information for each lot severed:
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Grantee's name ______________________________________
Relationship (if any) to owner ______________________________________
Date parcel created ______________________________________
Use of parcel ______________________________________
Consent File # ______________________________________
Decision ______________________________________
14. Has the parcel intended to be severed ever been, or is it now, the subject of
an application for a plan of subdivision under Section 51 of the Planning Act,
R.S.O., 1990, or predecessor?
[] yes [] no
If yes, indicate file number ___________
15. Is the owner, solicitor, or agent applying for additional consents on this
holding simultaneously with this application, or considering applying for
additional consent in the future?
[] yes [] no
16. Is the owner, solicitor or agent applying for/ or ever applied for any minor
variance or permission to extend or enlarge under Section 45 of the Planning
Act, R.S.O., 1990 in relation to any land that is the subject of this application?
[] yes [] no
If yes, indicate file number ___________
17. Has the parcel intended to be severed ever been, or is it now, the subject of
an application for an Official Plan Amendment under Section 17 of the
Planning Act, R.S.O., 1990, or predecessor?
[] yes [] no
If yes, indicate file number ___________
18. Has the parcel intended to be conveyed ever been, or is it now, the subject of
an application for a Zoning By-law Amendment under Section 34 of the
Planning Act, R.S.O., 1990, or predecessor?
[] yes [] no
If yes, indicate file number ___________
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19. Is the parcel subject to any easement or restrictive covenants affecting the
subject land?
[] yes [] no
If yes, please provide description of the easement or covenant and its effect
20. 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
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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Authorization
I/We ________________________ as the owner(s) of _________________________
(Property Address)
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(s)
Declaration of Owner or Authorized Agent:
Declaration of an Authorized Agent (to be completed where an agent is acting on behalf
of the owner):
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)
____________________________________
(Signature of Applicant, Solicitor, or Agent)
________________________________
A Commissioner, etc.
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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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Conditions of Consent
Memorandum of Understanding
That the applicant signs the Township’s Memorandum of Understanding by which the
applicant acknowledges the requirements and timing of matters that may include:
payment of development charges, payment of cash in lieu of parkland, detailed design
of a building or septic system, engineered lot grading, and water and sanitary servicing,
on either the vacant severed or vacant retained parcel.
Consent/Development Agreement
That the applicant enter into a Consent/Development agreement with the Township of
Oro-Medonte regarding matters that include financial requirements, easements, grading
and drainage.
Rezoning
That the retained lands be rezoned to a _________________ Zone to the satisfaction
of the Township of Oro-Medonte.
Rezoning Prohibit Residential Uses
That the retained lands be rezoned to an Agricultural/Exception Zone to prohibit residential
uses consistent with the Provincial Policy Statement.
Minor Variance
That the applicant apply for and obtain final approval of all necessary Minor Variances
to the satisfaction of the Township of Oro-Medonte.
Surveyor Confirmation
That the applicants supply the Township with written confirmation, prepared by an Ontario
Land Surveyor, that the proposed severed and retained parcels conform to the minimum lot
frontage requirements of the Township’s Zoning By-law.
Site Plan Approval
That the applicant apply for and obtain Site Plan Approval from the Director,
Development Services and enter into a Site Plan Agreement, registered on-title, with
the Township.
Grading Plan
That the applicant submit to the Township’s Engineering and Environmental Services
Department a grading plan prepared by a professional engineer or Ontario Land
Surveyor detailing the drainage pattern while showing the existing and proposed
elevations for both the severed and retained lands along with the adjoining lands;
Road Widening
That the Applicant transfer to The Corporation of the Township of Oro-Medonte
(“Township”), in fee simple, free and clear of all liens and encumbrances, a ____ metre
road widening along the entire frontage of the _______________ lands (insert severed
lands).
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All costs associated with the preparation and registration of the Transfer and
Consolidation Application, including costs relating to surveying, legal fees, and
disbursements, agreements, HST, etc. shall be fully borne by the Applicant.
Daylight Triangle
That the Applicant transfer to The Corporation of the Township of Oro-Medonte
(“Township”), in fee simple, free and clear of all liens and encumbrences, a daylighting
triangle at the corner of ____________________ and ___________________ between
lots ________________ dimensioned to the satisfaction of the Director, Operations and
Community Services. All costs associated with the preparation and registration of the
Transfer and Consolidation Application, including costs relating to surveying, legal fees,
and disbursements, agreements, HST, etc. shall be fully borne by the Applicant.
Septic System
That the applicant submit information, to the satisfaction of the Chief Building Official,
verifying that the [severed/retained] parcel may be capable of accommodating an
appropriate private on-site sewage disposal system.
Parkland Dedication
Residential:
That the applicant pay to the Municipality a fee of $2,000 as a parkland contribution for
reach residential lot to be created as cash-in-lieu of a parkland contribution pursuant to By-
law 2006-50 under the authority of subsection 53(13) of the Planning Act, R.S.O. 1990 c. P.
13.
Non-Residential:
That the applicant dedicate to the Municipality a fee of $500 as a parkland contribution for
reach new lot created for industrial or commercial purposes as cash-in-lieu of a parkland
contribution pursuant to By-law 2006-50 under the authority of subsection 53(13) of the
Planning Act, R.S.O. 1990 c. P. 13.
Finance
That all municipal taxes be paid to the Township of Oro-Medonte.
Administration
That one copy of a Registered Reference Plan of the subject lands prepared by an
Ontario Land Surveyor be submitted to the Committee Secretary-Treasurer which
conforms substantially with the application as submitted.
That the applicant’s solicitor prepare and submit a copy of the proposed conveyance for
the parcel severed, for review by the Municipality and for use for the issuance of the
certificate of consent.
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That the Certificate of Consent be issued utilizing Form 2, under Section 53(42) of the
Planning Act R.S.O. 1990, without qualification.
That the Certificate of Consent be issued utilizing Form 4, Section 53(42) of the Planning
Act R.S.O. 1990, to merge the parcels.
That the conditions of consent imposed by the Committee be fulfilled within one year from
the date of the giving of the notice. WARNING: Failing to fulfil the conditions within
the above-noted statutory one year period (Section 53(41), the Planning Act R.S.O.
1990) shall cause the application to lapse and render this Decision null and void.
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Development Services Committee
2021 Schedule
Last Day for
Applications
Sign Posting
Agenda/Reports Posted
on Township Website
Hearing
04-Dec
16-Dec
23-Dec
06-Jan
08-Jan
18-Jan
29-Jan
03-Feb
05-Feb
11-Feb
26-Feb
03-Mar
05-Mar
18-Mar
01-Apr
07-Apr
09-Apr
15-Apr
30-Apr
05-May
07-May
13-May
28-May
02-Jun
11-Jun
24-Jun
09-Jul
14-Jul
06-Aug
19-Aug
03-Sep
08-Sep
10-Sep
16-Sep
01-Oct
06-Oct
08-Oct
14-Oct
29-Oct
03-Nov
05-Nov
11-Nov
26-Nov
01-Dec