Site Plan Application

Contacts

Registred Proprety Owner(s)

Mailing address

Postal Code

Phone

office

Phone

home

Agent/Applicant

Mailing address

Postal Code

Phone

office

Phone

home

Please indicate to whom correspondence is to be sent

Owner Applicant/Agent

Indicate any mortgages, holders of charges or other encumbrancers with respect to the subject property

Name

Mailing address

Postal Code

Tel

Location and description of proprety

Municipal Address

Lot Number(s)

Concession

Registred Plan No

Reference Plan No

Part No

Parcel No

Former Township

Dimensions

Lot Frontage

Lot Depth

Lot Area

ft2

Lot Area

Are there any easements or restrictive covenants affecting the subject lands?

No Yes

If yes, describe the easement or covenant and its effect

Citizen Services