pre-application consultation form

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January 1, 2022 Page 1 of 4 Pre-Application Consultation Form Instructions: Please save an Adobe .pdf copy of the completed form. Email the form and a simple illustration to the correct Planner III with the subject line 'Pre-application Consultation Request'. * Mandatory field Date of Pre-Application Consultation Meeting (for staff records) (dd/mm/yyyy): Background information *Site Address or Location: For any and all previously approved, and concurrent development application(s), please list application numbers: Application numbers: Applicant / Agent Information Name: Mailing Address: Telephone: Email: Registered Property Owner Information Same as above Name: Mailing Address: Telephone: Email: A Pre-Application Consultation and fee are mandatory for the following application types (select all that apply). Site Plan Control (subject to public consultation) Plan of Subdivision Major and Minor Zoning By-law Amendment Official Plan Amendment Plan of Condominium (vacant land or common elements) Antenna System Will the proposed require an application to the Committee of Adjustment ? Yes No Unknown A Pre-Application Consultation is encouraged for all other application types. No fee applies. Other Fees Total:

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January 1, 2022Page 1 of 4

Pre-Application Consultation Form

Instructions: Please save an Adobe .pdf copy of the completed form. Email the form and a simple illustration to the correct Planner III with the subject line 'Pre-application Consultation Request'. * Mandatory field

Date of Pre-Application Consultation Meeting (for staff records) (dd/mm/yyyy):

Background information

*Site Address or Location:

For any and all previously approved, and concurrent development application(s), please list application numbers:

Application numbers:

Applicant / Agent Information

Name:

Mailing Address:

Telephone: Email:

Registered Property Owner Information Same as above

Name:

Mailing Address:

Telephone: Email:

A Pre-Application Consultation and fee are mandatory for the following application types (select all that apply).

Site Plan Control (subject to public consultation) Plan of Subdivision

Major and Minor Zoning By-law Amendment Official Plan Amendment

Plan of Condominium (vacant land or common elements) Antenna System

Will the proposed require an application to the Committee of Adjustment?

Yes No Unknown

A Pre-Application Consultation is encouraged for all other application types. No fee applies.

Other Fees Total:

January 1, 2022Page 2 of 4

Site details

Legal Description:

What is the land currently used for?

Lot area (m²):

Or

Lot area: (irregular lot) (m²)

Describe the current building(s) that exist on the subject property and the current land uses:

Proposal details

Describe the proposal and any relevant details about the lands:

Lot depth (m):Lot frontage (m):

January 1, 2022Page 3 of 4

Confidentiality and certification

The applicant requests that the information submitted on this form be kept confidential. It is understood, however, that an access request may be filed under the Municipal Freedom of Information Act, R.S.O. 1990, c.M.56, as amended, and information may be subject to release, notwithstanding the request to keep information confidential.

Name of Applicant

Date (dd/mm/yyyy):

Personal information contained in this form is collected pursuant to Section 1.0.1 of the Planning Act, R.S.O. 1990, c.P.13, as amended. The information will be used for the purpose of administering the City of Ottawa's pre-consultation process on development applications, and for the creation of a Study and Plan Identification List for Applicants. Questions about this collection can be directed to the Manager responsible for the Ward in which your development property is located.

January 1, 2022Page 4 of 4

Meeting attendees

Attendees representing the City / external stakeholders and the applicant (to be completed by staff):

Name Job Title and Employer

Office Use Only

Client Service Centre Staff: Fee Received: $

File Lead:Ward Number:

Application Received (dd/mm/yyyy):

Application Number: