Instructions for preparing and submitting the Appellant Form (A1)

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Environment and Land Tribunals Tribunaux de I'environnement et de Ontario I'amenagement du territoire Ontario Ontario Municipal Board 655 Bay Street, Suite 1500 Toronto ON M5G 1E5 Telephone: (416) 212-6349 Toll Free: 1-866-448-2248 Fax: Website: (416) 326-5370 www.elto.gov.on.ca Commission des affaires municipales de l'ontario 655 rue Bay, suite 1500 Toronto ON M5G 1E5 Telephone: (416) 212-6349 Sans Frais: 1-866-448-2248 Tetecopieur: (416) 326-5370 Site Web: www.elto.gov.on ca Ontario Instructions for preparing and submitting the Appellant Form (A1) NOTICE - APPEAL FEE CHANGE Effective July 1, 2016, Ontario Municipal Soard (OMS) appeal fees are changing from $125 to $300. Appeals received and date-stamped by the municipality/approval authority on or after July 1, 2016, are subject to the new appeal fee. - The fee of $25 for each additional consent appeal filed by the same appellant against connected consent applications does not change. - The fee of $25 for each additional variance appeal filed by the same appellant against connected variance applications does not change. OMS appeal fees are still $125 for appeals with date-stamps from before July 1, 2016. Complete one form for each type of appeal you are filing. Please print clearly. A filing fee of $300 is required for each type of appeal you are filing. the Fee Schedule, visit the Board's website. To view The filing fee must be paid by certified cheque or money order, in Canadian funds, payable to the Minister of Finance. If you are represented by a solicitor the filing fee may be paid by a solicitor's general or trust account cheque. Do not send cash. Professional representation is not required but please advise the Board if you retain a representative after the submission of this form. Submit your completed appeal form(s) and filing fee(s) by the filing deadline to either the Municipality or the Approval Authority as applicable. Do NOT send directly to the Ontario Municipal Board. The Municipality/Approval Authority will forward your appeal(s) and fee(s) to the Ontario Municipal Board. The Planning Act and the Ontario Municipal Board's website. Board Act are available on the A 1 Revised August 2016 Page 1 of6

Ii ~ Ontario Environment and Land Tribunals Ontario Ontario Municipal Board 655 Bay Street, Suite 1500 Toronto, Ontario M5G 1E5 TEL: (416) 212-6349 or Toll Free: 1-866-448-2248 FAX (416) 326-5370 www.elto.gov.on.ca FORM Date Stamp - Appeal Received by Municipality APPELLANT FORM (A 1) PLANNING ACT SUBMIT COMPLETED TO MUNICIPALITY/APPROVAL AUTHORITY Receipt Number (OMB Office Use Only) SUBJECT OF APPEAL TYPE OF APPEAL PLANNING ACT REFERENCE (SECTION) Minor Variance Appeal a decision 45(12) ~eal a decision Consent/Severance Appeal conditions imposed 53(19) Appeal changed conditions Failed to make a decision on the application within 90 days Appeal the passing of a Zoning By-law 53(27) 53(14) 34(19) Zoning By-law or Zoning By-law Amendment Application for an amendment to the Zoning By-law - failed to make a decision on the application within 120 days 34(11) Application for an amendment to the Zoning By-law - refused by the municipality Interim Control By-law Appeal the passing of an Interim Control By-law 38(4) Appeal a decision 17(24) or 17(36) Failed to make a decision on the plan within 180 days Official Plan or Official Plan Amendment Application for an amendment to the Official Plan - failed to make a decision on the application within 180 d~s Application for an amendment to the Official Plan - refused by the munic_lgality 17(40) 22(7) Appeal a decision 51(39) Plan of Subdivision Appeal conditions imposed Failed to make a decision on the application within 180 days 51(43) or 51(48) 51(34) Address and/or Legal Description of property subject to the appeal: A1 Revised August 2016 Page 2 of 6

Company Name or Association Name (Association must be incorporated - include copy of letter of incorporation) Professional Title (if app/ica~lel E-mail Address SKI ct ~ Daytime Telephone #: _C(i...L..lo..CL1--'2: -_ql--...<j-~/_-_i.l_l/...i.1_l{_!...!.i-t_alternate Telephone #: 6 '-t 7-23 J - 31 C 1 Gfr Postal Code Signature of Appellant: ---,Ai==...::::;;y:..,,_.!,:.~~~I...L::..!::::l~~~--::-:---:-:-_.,----::=--:- Date ]Qvtuo (V C) ',erj- (Signature I Please note: You must notify the tario Municipal Board of any change of address or telephone number in writing. quote your OMB Reference Number(s) after they have been assigned. Please Personal information requested on this form is collected under the provisions of the Planning Act, R.S.O. 1990, c. P. 13, as amended, and the Ontario Municipal Board Act, R.S.O. 1990, c. 0 28 as amended. After an appeal is filed, all information relating to this appeal may become available to the public. I hereby authorize the named company and/or individual(s) to represent me: First Name: Last Name: _ Company Name: _ Professional Title: _ E-maiIAddress: :~~~-~-~~~--~ :--~~-~~-~-~~~--~------- _ By providing an e-mail address you agree to receive communications from the OMS bye-mail. Daytime Telephone #: Alternate Telephone #: _ Fax# _ Mailing Address: ---= --,---.,.,,-,--,-- ----:::-,--=- _ Street Address AptlSuite/Unit# CityfTown Province Country (if not Canada) Postal Code Signature of Appellant: Date: _ Please note: If you are representing the appellant and are NOT a solicitor, please confirm that you have written eutnonzetion, as required by the Board's Rules of Practice and Procedure, to act on behalf of the appellant. Please confirm this by checking the box below I certify that I have written authorization from the appellant to act as a representative with respect to this appeal on his or her A1 Revised August 2016 Page 3 of 6

t behalf and I understand that I may be asked to produce this authorization at any time. Please choose preferred language:... English French We are committed to providing services as set out in the Accessibility for Ontarians with Disabilities Act, 2005. If you have any accessibility needs, please contact our Accessibility Coordinator as soon as possible. 1. Provide specific information about what you are appealing. For example: Municipal File Number(s), By-law Number(s), Official Plan Number(s) or Subdivision Number(s): (Please print) - / :.-'.! : i : ' (-, /!, / ( (> I.{.i~... ( : ~., ;',~ / J' I f / I / ) /.> / / 2. Outline the nature of your appeal and the reasons for your appeal. Be specific and provide land-use planning reasons (for example: the specific provisions, sections and/or policies of the Official Plan or By-law which are the subject of your appeal - if applicable). **If more space is required, please continue in Part 9 or attach a separate page. (Please print) I ', j)'" / I ''- t \_ r,.,1 f f' '/ / I ~ l,..f ) I L /.t,,'\;( ;, ':-( l ',. ~: I'.1 / (: t t', / i I -' ) «-<.., (,.'< THE FOLLOWING SECTIONS (a&b) APPLY ONLY TO APPEALS OF ZONING BY-LAW AMENDMENTS UNDER SECTION 34(11) OF THE PLANNING ACT. a) DATE APPLICATION SUBMITTED TO MUNICIPALITY:,--- ---,- _ (If application submitted before January 1, 2007 please use the 01 'pre-bill 51' form) b) Provide a brief explanatory note regarding the proposal, which includes the existing zoning category, desired zoning category, the purpose of the desired zoning by-law change, and a description of the lands under appeal: **If more space is required, please continue in Part 9 or attach a separate paqe. Bill 73 - This question applies only to official plans/amendments, zoning by-laws/amendments and minor variances that came into effect/were passed on or after July 1, 2016. 1. Is the 2-year no application restriction under section 22(2.2) or 34(10.0.0.2) or 45(14) applicable? a. No b. Yes Are there other appeals not yet filed with the Municipality? YES NO Are there other planning matters related to this appeal? YES (For example: A consent application connected to a variance application) NO..~ If yes, please provide OMB Reference Number(s) and/or Municipal File Number(s) in the box below: A1 Revised August 2016 Page 4 of 6

! '

(Please print) How many days do you estimate are needed for hearing this appeal? half day 1 day 2 days 3 days 4 days 1 week More than 1 week - please specify number of days: _ How many expert witnesses and other witnesses do you expect to have at the hearing providing evidence/testimony? Describe expert witness(es)' area of expertise (For example: land use planner, architect, engineer, etc.):,i, "~I " '"", /I~!' l :»,,;,1,,L'-" I~I," Do you believe this matter would benefit from mediation? YES (Mediation is generally scheduled only when all parties agree to participate) Do you believe this matter would benefit from a prehearing conference? YES (Prehearing conferences are generally not scheduled for variances or consents),/./ NO NO A1 Revised August 2016 Page 5 of 6