Zoning By-law Amendment Application Download the printable PDF form. Please enable JavaScript in your browser to complete this form.The AmendmentType of Amendment *Site specificOtherOther Type of Amendment *Purpose of and reasons for the proposed amendment(s) *Applicant InformationHow many registered owners are on title? *12345Registered Owner's Name (Person one) *FirstLastRegistered Owner's Email Address (Person one) *Registered Owner's Phone Number (Person one) *Registered Owner's Fax Number (Person one)Registered Owner's Name (Person two) *FirstLastRegistered Owner's Email Address (Person two) *Registered Owner's Phone Number (Person two) *Registered Owner's Fax Number (Person two)Registered Owner's Name (Person three) *FirstLastRegistered Owner's Email Address (Person three) *Registered Owner's Phone Number (Person three) *Registered Owner's Fax Number (Person three)Registered Owner's Name (Person four) *FirstLastRegistered Owner's Email Address (Person four) *Registered Owner's Phone Number (Person four) *Registered Owner's Fax Number (Person four)Registered Owner's Name (Person five) *FirstLastRegistered Owner's Phone Number (Person five) *Registered Owner's Email Address (Person five) *Registered Owner's Fax Number (Person five)Property Subject of the Zoning By-law Amendment *Address Line 1Address Line 2CityOntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvincePostal CodeApplicant (Agent) Name *Agent Address *Address Line 1Address Line 2CityOntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvincePostal CodeAgent Email Address *Agent Phone Number *Agent Fax Number *Name, address, and phone number of all persons having any mortgages, charges, or encumbrances on the property *Send correspondence to *OwnerAgentOtherOther *Email (Other) *Mailing Address (Other) *Address Line 1Address Line 2CityAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvincePostal CodeSend invoices to *OwnerAgentOtherOther *Email (Other) *Mailing Address (Other) *Address Line 1Address Line 2CityAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvincePostal CodeWhen did the current owner acquire the subject land? *What does the amendment cover? *The “entire” propertyA “portion” of the propertyThis information should be illustrated on the required drawing of this application.Description of the “Entire” PropertyMunicipal Address *Address Line 1Address Line 2CityOntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvincePostal CodeConcession *Lot *Registered Plan Number *Area in Hectares *Area in Acres *Depth in Meters *Depth in Feet *Frontage in Meters *Frontage in Feet *Amended Area of the Property in Hectares *Description of the area to be amended if only a “portion” of the property.Amended Area of the Property in Acres *Description of the area to be amended if only a “portion” of the property.Amended Depth of the Property in Meters *Description of the depth to be amended if only a “portion” of the property.Amended Depth of the Property in Feet *Description of the depth to be amended if only a “portion” of the property.Amended Frontage of the Property in Meters *Description of the frontage to be amended if only a “portion” of the property.Amended Frontage of the Property in Feet *Description of the frontage to be amended if only a “portion” of the property.Is the application to amend the zoning by-law consistent with the Provincial Policy Statement? *YesNoIs the subject land within an area of land designated under any provincial plan or plans? *Greenbelt PlanPlaces to GrowOtherNot applicableSpecify other provincial plan or plans land is designated under *If yes, does the application conform to and not conflict with the application provincial plan or plans? *YesNoCounty Official Plan What is the current County Official Plan designation of the subject property? *List land uses permitted by the current Official Plan designationHow does the application conform to the Official Plan? *If the application is to implement an alteration to the boundary of an area of settlement or to implement a new area of settlement, provide details of the Official Plan or Official Plan amendment that deals with the matter.If the application is to remove land from an area of employment, provide details of the Official Plan or Official Plan amendment that deals with the matter.If the subject land is within an area where zoning with conditions may apply, provide an explanation of how the application conforms to the Official Plan policies relating to zoning with conditions.ZoningWhat is the current zoning of the property? *What uses are permitted? *If the subject land is within an area where zoning with conditions may apply, provide an explanation of how the application conforms to the Official Plan policies relating to zoning with conditions. *If the subject land is within an area where the municipality has pre-determined minimum and maximum density requirements or the minimum and maximum height requirements provide a statement of these requirements. *Existed and Proposed Land Uses and BuildingsWhat is the "existing" use(s) of the subject land? *How long has the "existing" use(s) continued on the subject land? *What is the "proposed" use(s) of the subject land? *Building or StructuresProvide 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 Height *In meters or feet, please specifyProposed Building Height *In meters or feet, please specifyExisting Number of Floors *Proposed Number of Floors *Existing Total Floor Area *In square meters or square feet, please specifyProposed Total Floor Area *In square meters or square feet, please specifyExisting Ground Floor Area (exclude basement) *In square meters or square feet, please specifyProposed Ground Floor Area (exclude basement) *In square meters or square feet, please specifyExisting distance from the building/structure to the front lot line *In meters or feet, please specifyProposed distance from the building/structure to the front lot line *In meters or feet, please specifyExisting distance from the building/structure to the side lot line *In meters or feet, please specifyProposed distance from the building/structure to the side lot line *In meters or feet, please specifyExisting distance from the building/structure to the side lot line (other side) *In meters or feet, please specifyProposed distance from the building/structure to the side lot line (other side) *In meters or feet, please specifyExisting distance from the building/structure to the rear lot line *In meters or feet, please specifyProposed distance from the building/structure to the rear lot line *In meters or feet, please specifyExisting percentage of lot coverage *Proposed percentage of lot coverage *Existing number of parking spaces *Proposed number of parking spaces *Existing number of loading spaces *Proposed number of loading spaces *Existing and Proposed ServicesWhat is the access to the subject property? *Provincial HighwayContinually maintained municipal roadRight-of-waySeasonally maintained municipal roadWater accessOtherOther form of access to the property *What is the name of the road or street that provides access to the subject property? *Please describe the parking and docking facilities used or to be used and the approximate distance of these facilities from subject land to the nearest public road *This information should be illustrated on the required drawing of this application.Applicable water supply and sewage disposal: Communal Well *ExistingProposedApplicable water supply and sewage disposal: Private well *ExistingProposedApplicable water supply and sewage disposal: Provincial Water Taking Permit *ExistingProposedApplicable water supply and sewage disposal: Water sewers *ExistingProposedApplicable water supply and sewage disposal: Communal Septic *ExistingProposedApplicable water supply and sewage disposal: Private septic *ExistingProposedApplicable water supply and sewage disposal: Provincial Waste Water System *ExistingProposedIf the application would permit development on privately owned and operated individual or communal septic systems, would more than 4500 litres of effluent be produced per day as a result of the development being completed? *YesNoServicing options report * Click or drag a file to this area to upload. A hydrogeological report * Click or drag a file to this area to upload. How is storm drainage provided? *Storm SewersDitchesSwalesOtherOther storm drainage *Other Related Planning ApplicationsHas the current owner (or any previous owner) made application for any of the following, either on the subject property or within 120 metres of the subject lands?Official Plan Amendment *YesNoOfficial Plan Amendment File Number *Official Plan Amendment Approval Authority *Official Plan Amendment Subject Lands *Official Plan Amendment Purpose *Official Plan Amendment Status *Zoning By-Law Amendment *YesNoZoning 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 *Minor Variance *YesNoMinor Variance File Number *Minor Variance Approval Authority *Minor Variance Subject Lands *Minor Variance Purpose *Minor Variance Status *Plan of Subdivision *YesNoPlan of Subdivision File Number *Plan of Subdivision Approval Authority *Plan of Subdivision Subject Lands *Plan of Subdivision Purpose *Plan of Subdivision Status *Consent (Severance) *YesNoConsent (Severance) File Number *Consent (Severance) Approval Authority *Consent (Severance) Subject Lands *Consent (Severance) Purpose *Consent (Severance) Status *Site Plan Control *YesNoSite Plan Control File Number *Site Plan Control Approval Authority *Site Plan Control Subject Lands *Site Plan Control Purpose *Site Plan Control Status *Has the subject land ever been the subject of a Minister's Zoning Order? *YesNoOntario Regulation Number of Minister's Zoning Order, if knownOther Supporting InformationPlease list the titles of any supporting documents: (e.g. Environmental Impacts Study, Hydrogeological Report, Servicing Options Report, Traffic Study, Market Area Study, Aggregate Licence Report, Stormwater Management Report, etc.) *Parcel register for property * Click or drag files to this area to upload. You can upload up to 10 files. Can be obtained from the Land Registry Office. Application DrawingPlease provide an accurate drawing of the proposal, preferably prepared by a qualified professional. In some cases, it may be more appropriate to submit additional drawings at varying scales a lot better illustrate the proposal. The drawing must include the following information (see on following page): Owner/applicant’s names; Legal description of the property; Boundaries and dimensions of the subject and its current land use; Dimensions of area of amendment (if not, the entire property); The size and use of all abutting land; All existing and proposed parking and loading areas, driveways, and lanes; The location and nature of any easements or restrictive covenants on the property; The location of any existing drains or award drains; Woodlots, forested areas, ANSIs, ESAs, wetlands, floodplain, and all natural watercourses (rivers, stream banks, etc.); The location, size , and type of all existing and proposed buildings and structures on the subject land , indicating their distance from the front lot line, rear lot line, and side lot lines; The name, location, and width of each abutting public or private road, unopened road allowance or right-of-way; If access to the subject land is by water only, provide the location of the parking and docking facilities to be used; Other features both on site or nearby that in the opinion of the applicant will have an effect on the application (such as bridges, railways, airports, roads, drainage ditches, wells, septic systems, springs, slopes, gravel pits); and The drawing should also include the scale, north arrow, and date when the drawing was prepared. Application Drawing * Click or drag a file to this area to upload. Authorization for Agent/Solicitor to act for OwnerThe Agent/Solicitor is different than the ownerYesNoOwners Name (Person one) *FirstLastOwners Address (Person one) *Address Line 1Address Line 2CityAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvincePostal CodeOwners Name (Person two) *FirstLastOwners Address (Person two) *Address Line 1Address Line 2CityAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvincePostal CodeOwners Name (Person three) *FirstLastOwners Address (Person three) *Address Line 1Address Line 2CityAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvincePostal CodeOwners Name (Person four) *FirstLastOwners Address (Person four) *Address Line 1Address Line 2CityAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvincePostal CodeOwners Name (Person five) *FirstLastOwners Address (Person five) *Address Line 1Address Line 2CityAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvincePostal CodeI (we) authorize this person to act as my agent in this application *FirstLastOwners Signature (Person one) *Clear SignatureOwners Signature (Person two) *Clear SignatureOwners Signature (Person three) *Clear SignatureOwners Signature (Person four) *Clear SignatureOwners Signature (Person five) *Clear SignatureAgreement to Post Sign and Permit Site VisitsFor the purpose of public notification and staff identification, I agree to erect a sign in accordance with the Township of Puslinch’s sign requirements within one week of the date Township staff has deemed that the application is complete, and remove the sign when the application has been given final approval. *For the purpose of public notification and staff identification, I agree to erect a sign in accordance with the Township of Puslinch’s sign requirements within one week of the date Township staff has deemed that the application is complete, and remove the sign when the application has been given final approval.Furthermore, for the purposes of processing this application, I permit staff/representatives of the Township of Puslinch to enter onto my lands and inspect my property at the following times (please check one of the following boxes): *Any and all timesCertain days as specifiedBy appointment onlyI permit staff/representatives of the Township of Puslinch to enter onto my lands during these times *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 Clerkâ€TMs office for assistance.Zoning By-law Amendment must be commissionedI understand that prior to the Zoning By-law Amendment being deemed complete it must be commissioned by all registered owners or the agent responsible for the application,WebsiteSubmit