Development Permit Application Form

Part 1: Basic Application Information

Legal Address of Leased Lot

Full Address

Lot

Plan

Type

WF

BL

Registered Tenant Information

Person #1(Required)

First Last

Person #2

First Last

Address

Street Address Address Line 2 City State / Province / Region

Address

Street Address Address Line 2 City State / Province / Region

Principal Contractor for Project

Email

Phone

Builder or Contractor

Email

Phone

Proposed Development Inclusions

New Building

Renovation

Addition

Building Removal

Demolition

Repair

Basement Development

Other

Description of Proposed Development

Proposed Start Date

Proposed Completion Date

Floor Area of Building/Works

Building Height

Building Width

Building Length

Part 3: Attachment Checlist

Please attach the following documents

A Surveyor’s Real Property Report – Surveyors Certificate for all principal residences and accessory buildings is required once the foundation is poured

Dimensions of site and locations of existing or proposed buildings
Location of streets, easements, driveways, parking area and other site development properties
Site, main floor and maximum height elevations

Document Upload

Max. file size: 8 MB.

Part 4: Applicant Declaration

I hereby acknowledge and certify that the information contained in this application and related attachments is true, complete, and correct.
Work under the scope of this Development Application shall not commence until the Non‐refundable Administration Fee of $120.00 is paid in full and the Building Permit has been issued.
I understand that No Construction Work may begin prior to written authorization being provided by Zagimê Anishinabêk.
Submissions of a signed Application form authorizes the Development Officer to enter the property for inspections (prior to, during and after).

Signature(Required)

Print Name(Required)

Email(Required)

Date

Use Is

Permitted

Discretionary

Meets Bylaw Requirements?

Yes

No

Together, we’re building something great. let’s do it as a Nation.

Part 1: Basic Application Information

Registered Tenant Information

Part 3: Attachment Checlist

Part 4: Applicant Declaration

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