Pre-application consulation form

Type of application

Official Plan Amendment Zoning By-Law Amendment Minor Variance Site Plan Agreement Not sure Other

Contact information

Name

Email

Address

Phone

Fax

Are you the Registered Owner of the Subject Lands?

Yes No

If you are not the Registered Owner, are you making the application on their behalf?

Yes No

Participants

Please list all parties that will be attending the Pre-Application Consultation Meeting.

Name

Title

Email

Name

Title

Email

Name

Title

Email

Name

Title

Email

Name

Title

Email

Subject Lands

Address of Subject Lands

Legal Description

Frontage (m)

Area (m2)

Depth (m)

Current Designation of Subject Lands: (Leave empty if unsure)

Casselman Official Plan

Zoning

Current Use of the Subject Lands (include any existing structures)

Have these lands been the subject of any other application under the Planning Act?

No Yes

If yes, please list :

Proposal

Provide a brief description of the proposal. Please attach additional information in separate documents as required. Please list attachment(s) provided with the proposal below.

Please identify any particular issues or questions that you wish staff to address in this consultation.

Will the proposal be developed in two or more phases?

Previous meetings

Have you had any previous discussions with Municipal Staff regarding this development proposal?

Yes No

If yes, who have you consulted?

When?

Citizen Services

Recreation and Culture

My Municipality

Business

Pre-application consulation form