Minor Variance Application - Township of Puslinch

General Information

How many registered owners are on title? *

Registered Owner’s Name (Person one) *

First

Last

Registered Owner’s Email Address (Person one) *

Registered Owner’s Phone Number (Person one) *

Registered Owner’s Fax (Person one)

Registered Owner’s Name (Person two) *

First

Last

Registered Owner’s Email Address (Person two) *

Registered Owner’s Phone Number (Person two) *

Registered Owner’s Fax (Person two)

Registered Owner’s Name (Person three) *

First

Last

Registered Owner’s Email Address (Person three) *

Registered Owner’s Phone Number (Person three) *

Registered Owner’s Fax (Person three)

Registered Owner’s Name (Person four) *

First

Last

Registered Owner’s Email Address (Person four) *

Registered Owner’s Phone Number (Person four) *

Registered Owner’s Fax (Person four)

Registered Owner’s Name (Person five) *

First

Last

Registered Owner’s Email Address (Person five) *

Registered Owner’s Phone Number (Person five) *

Registered Owner’s Fax (Person five)

Property Subject of the Minor Variance *

Address Line 1

Address Line 2

City

Province

Postal Code

Applicant (Agent) Name *

First

Last

Applicant (Agent) Address *

Address Line 1

Address Line 2

City

Province

Postal Code

Applicant (Agent) Email *

Applicant (Agent) Phone Number *

Applicant (Agent) Fax

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

Send correspondence to *

Owner(s)
Agent
Other

Other

Provide a description of the “entire” property

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 *

Width of road allowance (if known)

Reason for Application

Please indicate the Section of the Planning Act under which this application is being made *

Section 45(1) relates to a change to a by-law standard (e.g. setbacks, frontage, height, etc.)
Section 45(2) relates to a change to or expansion of an existing legal non- conforming use

What is the nature and extent of the relief that is being applied for? *

Sketch of the nature and extent of the relief that is being applied for *

Click or drag a file to this area to upload.

Why is it not possible to comply with the provisions of the by-law? *

Sketch for why is it not possible to comply with the provisions of the by-law *

Click or drag a file to this area to upload.

What is the current Official Plan and zoning status?

Official Plan Designation *

Zoning Designation *

What is the access to the subject property? *

Provincial Highway
Continually maintained municipal road
Seasonally maintained municipal road
Other

Other Access

What is the name of the road or street that provides access to the subject property? *

If access is by water only, please describe the parking and docking facilities used or to be used and the approximate distance of these facilities from the subject land to the nearest public road.

Existing and Proposed Service

Indicate the applicable water supply and sewage disposal:

Private Well

Existing
Proposed

Communal Water

Existing
Proposed

Provincial Water Taking Permit

Existing
Proposed

Private Septic

Existing
Proposed

Communal Septic

Existing
Proposed

Other Provincial Waste Water System

Existing
Proposed

How is storm drainage provided? *

Storm Sewers
Ditches
Swales
Other means

Other Means of Storm Drainage

Existing Subject and Abutting Property Land Uses, Buildings and their Locations

What is the existing use of the subject property? *

What is the existing use of the abutting properties? *

Provide the following details for all buildings on or proposed for the subject land

Main Building Height in Meters *

Main Building Height in Feet *

Percentage Lot Coverage in Meters *

Percentage Lot Coverage in Feet *

Number of Parking Spaces *

Number of Loading Spaces *

Number of Floors *

Total Floor Area in Square Meters *

Total Floor Area in Square Feet *

Ground Floor Area (Exclude Basement) in Square Meters *

Ground Floor Area (Exclude Basement) in Square Feet *

What is the location of all buildings existing and proposed for the subject property? (specify distances from front, rear and side lot lines)

Front Yard in Meters *

Front Yard in Feet *

Rear Yard in Meters *

Rear Yard in Feet *

Side Yard (1) in Meters *

Side Yard (1) in Feet *

Side Yard (2) in Meters *

Side Yard (2) in Feet *

What are the dates of acquisition and construction of subject property and building property

Date of acquisition of subject property *

Date of construction of buildings property *

How long have the existing uses continued on the subject property? *

Has the owner previously applied for relief in respect of the subject property? *

Yes
No

Please indicate the file number and describe briefly *

Other Related Planning Applications

Has an application for any of the following on the subject lands?

Planning Application: Official Plan Amendment *

Yes
No

Official Plan Amendment: File Number *

Official Plan Amendment: Approval Authority *

Official Plan Amendment: Subject Lands *

Official Plan Amendment: Purpose *

Official Plan Amendment: Status *

Planning Application: Zoning By-Law Amendment *

Yes
No

Zoning By-Law Amendment: File Number *

Zoning By-Law Amendment: Approval Authority *

Zoning By-Law Amendment: Subject Lands *

Zoning By-Law Amendment: Purpose *

Zoning By-Law Amendment: Status *

Planning Application: Plan of Subdivision *

Yes
No

Plan of Subdivision: File Number *

Plan of Subdivision: Approval Authority *

Plan of Subdivision: Subject Lands *

Plan of Subdivision: Purpose *

Plan of Subdivision: Status *

Planning Application: Consent (Severance) *

Yes
No

Consent (Severance): File Number *

Consent (Severance): Approval Authority *

Consent (Severance): Subject Lands *

Consent (Severance): Purpose *

Consent (Severance): Status *

Planning Application: Site Plan *

Yes
No

Site Plan: File Number *

Site Plan: Approval Authority *

Site Plan: Subject Lands *

Site Plan: Purpose *

Site Plan: Status *

Planning Application: Minor Variance *

Yes
No

Minor Variance: File Number *

Minor Variance: Approval Authority *

Minor Variance: Subject Lands *

Minor Variance: Purpose *

Minor Variance: Status *

Authorization for Agent/Solicitor to act for Owner

The Agent/Solicitor is different than the owner *

Yes
No

Owner's Name (Person one) *

First

Last

Owner's Address (Person one) *

Address Line 1

Address Line 2

City

Province

Postal Code

Owner's Name (Person two) *

First

Last

Owner's Address (Person two) *

Address Line 1

Address Line 2

City

Province

Postal Code

Owner's Name (Person three) *

First

Last

Owner's Address (Person three) *

Address Line 1

Address Line 2

City

Province

Postal Code

Owner's Name (Person four) *

First

Last

Owner's Address (Person four) *

Address Line 1

Address Line 2

City

Province

Postal Code

Owner's Name (Person five) *

First

Last

Owner's Address (Person five) *

Address Line 1

Address Line 2

City

Province

Postal Code

I (we) authorize this person to act as my agent in this application.

Signature of Owner (Person one) *

Signature of Owner (Person two) *

Signature of Owner (Person three) *

Signature of Owner (Person four) *

Signature of Owner (Person five) *

Please select your Minor Variance Type *

Minor Variance Type 1 - $ 806.00
Minor Variance Type 2 - $ 1,365.00

Convenience Fee (1.75%) *

Price: $ 14.11

Convenience Fee (1.75%) *

Price: $ 23.89

Total

$ 0.00

Credit Card *

Card

Name on Card

Agreement to Post Sign and Permit Site Visits

The Applicant is required to agree to erect and maintain a sign on the subject lands and to permit Township employees/representatives to enter the lands for site visits. The sign will be provided to the applicant for posting on the property by Township planning staff along with instructions on how and where to post the sign. The sign must be posted at least 10 days prior to the Committee of Adjustment meeting date for the application and must remain on the property until the 20 day appeal period is expired.

Personal information on this form is collected under the authority of the Planning Act. The information is 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.

Name *

First

Last

Minor Variance Application must be commissioned *

I understand that prior to the Minor Variance Application being deemed complete it must be commissioned by all registered owners or the agent responsible for the application.

Minor Variance Type 1

Minor Variance Type 2

General Information

Provide a description of the “entire” property

Reason for Application

What is the current Official Plan and zoning status?

Existing and Proposed Service

Existing Subject and Abutting Property Land Uses, Buildings and their Locations

Provide the following details for all buildings on or proposed for the subject land

What is the location of all buildings existing and proposed for the subject property? (specify distances from front, rear and side lot lines)

What are the dates of acquisition and construction of subject property and building property

Other Related Planning Applications

Authorization for Agent/Solicitor to act for Owner

Agreement to Post Sign and Permit Site Visits

Documents on this Page