Radiocommunication and Antenna Mandatory Pre-Consultation Application

Property Owner's Name *

First

Last

Property Owner's Phone Number *

Property Owner's Email Address *

Property Roll Number

Example 23-01-000-000-00000-0000

Property Address *

Address Line 1

Address Line 2

City

Province

Postal Code

Name of Proponent *

Proponent's Address *

Address Line 1

Address Line 2

City

Province

Postal Code

Primary Contact *

First

Last

Primary Contact Phone Number *

Primary Contact Email Address *

Which of the following best applies to your proposal? *

New Radiocommunication Tower
Expanding or changing existing Radiocommunication Tower
Other

If other, please explain. *

Upload a title search and authorization form of the property. *

Click or drag files to this area to upload. You can upload up to 3 files.

Please select the type of property that best applies to the proposal: *

An outline of the proposed telecommunications facility and, if applicable, how it meets one of the exclusion criteria. *

Upload the location of the proposed telecommunications facility, including the municipal address and a map identifying where it is to be situated on the subject property. *

Click or drag files to this area to upload. You can upload up to 3 files.

Mapping should be current and any new structures or features not identified on the mapping shall be noted by the proponent.

Upload Co-location Alternatives *

Click or drag files to this area to upload. You can upload up to 3 files.

Co-location alternatives are to be considered within a 3 kilometre radius of the proposed site using the National Antenna Information Database.

Set of drawings illustrating the proposal, including a conceptual site plan, elevation drawings, engineered drawings as applicable, and context plan showing the development within the existing neighborhood *

Click or drag files to this area to upload. You can upload up to 5 files.

Can be supplied using an aerial photograph base

Terms and Conditions

I understand that:

The proponent shall be required to pay all applicable processing and review fees. These fees may include, but are not necessarily limited to, the cost incurred by the municipality for the processing of the application such as administration, planning, engineering, and legal fees.

The proponent is required to pay all third party costs and disbursements generated through the application review, including pre-consultation. The proponent will also be responsible for any fees applied by external regulatory agencies, such as the Conservation Authority having jurisdiction, the Ministry of Transportation, The County of Wellington, etc.

Applications will not be processed until the mandatory pre-consultation requirements have been met.

The 120-day consultation period shall not commence until the application is deemed to be complete to the satisfaction of the Township.

I have read, understood and agree to the Terms and Conditions.

Signature *

Clear Signature