MINOR VARIANCE PROCEDURES, (as of December 21, 2016)

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MINOR VARIANCE PROCEDURES, (as of December 21, 2016) Receive and review application Be sure everything is complete and check the Official Plan designation and Zoning policies. Review with the Building Official. The following cheques are to be submitted with the application: Township of Alnwick/Haldimand - $750.00 County of Northumberland (Planning comments) $250.00 County of Northumberland (Health comments) $300.00 Lower Trent Conservation Authority - $265.00 A Public Meeting is to be scheduled no sooner than 10 days and the Notice of Decision is to be circulated to the following: Owner of property Property owners within 200 feet of the subject lands Affected agencies as per attached list If Council approves the Minor Variance, the Notice of Decision is to be sent within 10 days to the following: Owner of property Any person or agency who requested, in writing, to be notified of the decision. Appeal Period: There is a 20 day appeal period from the date of the decision of by Council.

TOWNSHIP OF ALNWICK / HALDIMAND 10836 County Road 2, P.O. Box 70 Grafton, Ont. K0K 2G0 (905) 349-2822 Fax (905) 349-3259 APPLICATION FOR MINOR VARIANCE Application No. MV- -2018 Application Fee: $750.00 The undersigned hereby applies to the Committee of Adjustment for the Township of Alnwick/Haldimand under section 45(3) of the Planning Act, R.S.O. 1990, c.p.13. for relief as described in this application, from Comprehensive Zoning By-Law No. 100-2010 of the Township of Alnwick/Haldimand, as amended. 1. Name of Owner: Telephone Number: 2. Address: 3. Name of Agent, (if any): 4. Address of Agent: Note: Unless otherwise requested, all communications will be sent to the agent, if any. 5. Names and Addresses of any mortgages, holders of charges or other encumbrances: 6. Nature and Extent of Relief Applied for: 7. Why is it not possible to comply with the provisions of the By-Law?

8. Legal description of subject land (registered plan number and lot number or other legal description and, where applicable, street and street number): 9. Dimensions of Lands Affected: Frontage: Depth: Area: Width of Street: 10. Particulars of all buildings and structures on or proposed for the subject land, (Specify ground floor area, gross floor area, number of storeys, width, length, height, etc.): Existing: Proposed: 11. Location of all buildings and structures on or proposed for the subject land, (Specify distance from side, rear and front lot lines): Existing: Proposed:

12. Date of acquisition of subject land: 13. Date of Construction of all buildings and structures on subject land: 14. Existing uses of the subject property: 15. Existing uses of abutting properties: 16. Length of time the existing uses of the subject property have continued: 17. Municipal Services Available (Check Appropriate Box or Boxes): Water Sanitary Sewers Connected Connected Storm Sewers 18. Present Official Plan provisions applying to the land:

19. Present Zoning By-Law Provisions applying to the land: 20. Has the owner previously applied for relief in respect of the subject property? Yes No If the answer is yes, describe briefly: 21. Is the subject property the subject of a current application for consent under Section 53 of the Planning Act, R.S.O. 1990, c.p.13. Yes No (Signature of Applicant or Authorized Agent) Dated at the Township of Alnwick/Haldimand this day of, 2018. I,, of the Township of Alnwick/Haldimand in the County of Northumberland solemnly declare that all the statements contained in this 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. Declared before me at the Hamlet of Grafton, The County Of Northumberland This day of, 2018 Terry Korotki, B.A. Planning Consultant Township of Alnwick/Haldimand