Application to Rezone Land

APPLICANT INFORMATION:

Name of Applicant

Mailing Address City/Town/Hamlet

Postal Code

Telephone Fax

Registered owner (as above) or

Name of Registered Owner:

Mailing Address: City/Town/Hamlet:

Postal Code: Telephone: Fax

Legal Land Location:

Present Zoning Designation:      
               
               
               
               
               
               
   

Proposed Zoning Designation:   
               
               
               
               
               
               
   

Existing Use of Land  (List number of Buildings and type, provide sketch if necessary):

                          
               
               
               
               
               
                
               
               
               
               
   
 
                         
               
               
               
               
               
               
               
               
               
               
   
 
                         
   

                          
               
               
               
               
               
               
               
               
               
               
   
 
                         
               
               
               
               
               
               
               
               
               
               
   
 
                         
   

1
Brief description of topography of land (sloughs/trees etc, provide sketch if necessary):

                          
               
               
               
               
               
               
               
               
               
               
   
 
                         
               
               
               
               
               
               
               
               
               
               
   
 
                         
               
               
               
               
               
               
               
               
               
               
   
 
                         
               
               
               
               
               
               
               
               
               
               
   
 
                         
               
               
   

Existing Land Uses within 2 miles of proposal
 Distance

1. Intensive Livestock Operation   
            
             
               
               
   

2. Landfill or Waste Disposal Site  
            
             
               
               
   

3. Sewage Lagoon   
            
             
               
               
   

4. Stream/Large Body of Water   
            
             
               
               
   

5. Gravel Pit

6. Existing Country Residential Development

7. Existing Industrial or Commercial Development

8. Airports

Proposed use of land: (check one)

Single Parcel Residential           

Multi­Parcel Country Residential (more than 23)               
   

Commercial:     
               
   

Industrial:          
               
   

Recreational:                   
    

Number of Sites Proposed         
               
               
     Total Area       
               
               
   

Brief description of development proposed:                         
               
               
               
               
               
   
                          
               
               
               
               
               
               
               
               
               
               
   
 
                         
   

2
 
            
             
               
               
               
               
               
               
               
               
               
               
               
   

Declaration by applicant

I,          
               
               
               
               
               
    of the               
               
               
               
               
               
   
(Name) (Municipality)

Herby certify that I am the registered owner of the land proposed for rezoning
OR
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:                
               
              
              
     Signature:        
              
              
              
              
              
   

Enclosed:

SITE Plan

Landscape Plans (2 sets)

Application Fee as outlined below

Where person applies to Council to amend the Zoning bylaw, that person shall pay
to the Municipality the following fees, where applicable:

i) Text amendments: $200

ii) Map amendments:

Class 1 Districts: A
Class 2 Districts: C1
Class 3 Districts: CR1, CR2

Zoning Map To:

Amendments Class 1 Class 2 Class 3
FROM: Class 1 $100 $200 $400
Class 2 $100 $200 $400
Class 3 $100 $200 $300

3
Where an application to amend the Zoning Bylaw involves amendment within two or
more of the above categories the sum of the amendment fees shall apply for all
categories.

The fees shall be paid in addition to any fee required by Section 3.12.1 of the Basic
Planning Statement.