Site Plan Approval Application - Township of Puslinch

Applicant Information

Registered Owner *

First

Last

Second Registered Owner (Optional)

First

Last

Address/Legal Description *

Address Line 1

Address Line 2

City

Province

Postal Code

Email Address *

Phone Number *

Applicant (Agent) *

Agent Address *

Address Line 1

Address Line 2

City

Province

Postal Code

Agent Email Address *

Agent Phone Number *

Name, address, and phone number of all the persons having any mortgages, charges, or encumbrances on the property *

Send correspondence to *

Owner
Agent
Other

Other *

Email (Other) *

Address (Other) *

Address Line 1

Address Line 2

City

Province

Postal Code

Send invoices to *

Owner
Agent
Other

Other *

Email (Other) *

Address (Other) (copy) *

Address Line 1

Address Line 2

City

Province

Postal Code

Property Description

Municipal Address *

Address Line 1

Address Line 2

City

Province

Postal Code

Concession *

Lot *

Registered Plan Number *

Area in Hectares *

Area in Acres *

Depth in Meters *

Depth in Feet *

Frontage in Meters *

Frontage in Feet *

County Official Plan

Existing County Official Plan designation(s) *

Proposed County Official Plan designation(s) (if applicable)

Zoning

Existing Zoning *

Proposed Zoning (if applicable)

Existed and Proposed Land Uses and Buildings

Existing use(s) of the subject land *

Proposed use(s) of the subject land *

Other Planning Applications

Is this property subject to other applications pursuant to the Planning Act *

Yes
No

Please specify other applications pursuant to the Planning Act *

Building or Structures

Provide all the following details for all buildings or structures on the subject land.

Existing Type of buildings or structure(s) *

Proposed Type of buildings or structure(s) *

Existing Building Date of Construction *

Proposed Building Date of Construction *

Existing Building Accessibility Building Height *

Proposed Building Accessibility Building Height *

Existing Building Height *

In meters or feet, please specify

Proposed Building Height *

In meters or feet, please specify

Existing Number of Floors *

Proposed Number of Floors *

Existing Total Floor Area *

In square meters or square feet, please specify

Proposed Total Floor Area *

In square meters or square feet, please specify

Existing Ground Floor Area *

In square meters or square feet, please specify

Proposed Ground Floor Area *

In square meters or square feet, please specify

Existing distance from the building/structure to the front lot line *

In meters or feet, please specify

Proposed distance from the building/structure to the front lot line *

In meters or feet, please specify

Existing distance from the building/structure to the side lot line *

In meters or feet, please specify

Proposed distance from the building/structure to the side lot line *

In meters or feet, please specify

Existing distance from the building/structure to the side lot line (other side) *

In meters or feet, please specify

Proposed distance from the building/structure to the side lot line (other side) *

In meters or feet, please specify

Existing distance from the building/structure to the rear lot line *

In meters or feet, please specify

Proposed distance from the building/structure to the rear lot line *

In meters or feet, please specify

Existing percentage of lot coverage *

Proposed percentage of lot coverage *

Existing percentage of lot covered by landscape area *

Proposed percentage of lot covered by landscape area *

Existing percentage of lot covered by open work yard *

Proposed percentage of lot covered by open work yard *

Existing percentage of lot covered by outside storage or display area *

Proposed percentage of lot covered by outside storage or display area *

Existing number of light standards and height *

Proposed number of light standards and height *

Existing classification of all buildings pursuant to OBC s 3.2.2. *

Proposed classification of all buildings pursuant to OBC s 3.2.2. *

Existing type of building materials *

i.e. combustible

Proposed type of building materials *

i.e. combustible

Existing number of parking spaces *

Proposed number of parking spaces *

Existing number of loading spaces *

Proposed number of loading spaces *

Site Plan Approval Application Documents

Click or drag files to this area to upload. You can upload up to 20 files.

Authorization for Agent/Solicitor to act for Owner

Affidavit is signed by an Agent/Solicitor on Owner’s behalf

Affidavit is signed by an Agent/Solicitor on Owner’s behalf

Owners Name *

First

Last

Owners Address *

Address Line 1

Address Line 2

City

Province

Postal Code

I authorize this person to act as my agent in this application *

First

Last

Owners Signature *

Affidavit

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

Province

Postal Code

I solemnly declare that all the statements contained in this application are true, and I, (we), 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. *

I solemnly declare that all the statements contained in this application are true, and I, (we), 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.

Signature of Owner or Authorized Solicitor or Authorized Agent *

Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act and will be used for the purpose of processing this application and administering the legislation and is maintained in accordance with the Municipal Freedom of Information and Protection of Privacy Act. Questions regarding the collection of this information may be directed to the Township Clerk’s office.

The Township of Puslinch is committed to providing accessible formats and communication supports for people with a disability. If another format would work better for you, please contact the Township Clerk’s office for assistance.

Applicant Information

Property Description

County Official Plan

Zoning

Existed and Proposed Land Uses and Buildings

Other Planning Applications

Building or Structures

Authorization for Agent/Solicitor to act for Owner

Affidavit

Documents on this Page