Application to Rezone

APPLICATION TO REZONE LAND

Application Fee: $200.00, plus advertising costs

Receipt No. *

Applicant: *

Postal Code: *

Phone No: *

Registered Owner: * As Above
As Below

Name:

Postal Code:

Phone No:

Land Location/Legal Description: *

Present Zoning Designation: *

Proposed Zoning Designation: *

Existing Use of Land – List No. of buildings and type (provide sketch if necessary): *

Brief description of topography of land (sloughs, trees – provide sketch if necessary): *

Existing land uses within 2 miles of proposal (Distance)

Intensive Livestock Operation *

Existing Country Residential Development *

Landfill or Waste Disposal Site

Urban Municipality *

Airport *

Lagoons

Existing Industrial or Commercial Development *

Mineral Extraction (Gravel Deposits) *

Proposed Use of Land (check one): * Single Parcel Residential (A)
Lakeshore Development (LD)
Multi-Parcel Country Residential (CR) (more than 12 lots per quarter)
Low Density Multi-Parcel Country Residential (CR1) (2 – 12 lots per quarter)
Highway Commercial and Light Industrial (C1)
Highway Commercial/Restricted Residential (C2)

Number of sites proposed *

Total Area *

Brief description of development proposed and rationale for the requirement to rezone:

Please attach a completed Concept Plan (Comprehensive Development Review); as described in the Zoning Bylaw.

DECLARATION BY APPLICANT

Name *

Municipality *

hereby certify that I * am the registered owner of the land proposed for rezoning
am authorized to act on behalf of the registered owner

and that all statements contained within the 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.

Date: *

Type your full name: *