HomeMy WebLinkAboutApplication Form Revised January 2017
CITY OF MAPLE RIDGE
PLANNING APPLICATION FORM
SECTION A: (To be completed in full by the Applicant)
Applicant:
Name:_____________________________________ Address: _________________________________________________________
Postal Code: ______________ Phone # _____________________ Cell #: ____________________ Fax #: ____________________
Email:
The personal information collected on this form is collected in accordance with the Freedom of Information and Protection of Privacy Act.
The City has authority to collect your information for the purposes of administering the Planning and Land Use Management processes in accordance with Part
14 of the Local Government Act. Applicants are advised that all Planning and Land Use Management processes are public and any materials submitted become part of the public record. All applicant information submitted may be used for reports to Council, available to the public upon request and distributed on the City’s website, as well as displayed on signage. Should you have any questions or concerns about the collection and/or release of your personal information please contact Planning Department.
Subject Property(ies):
Address(es) ________________________________________________________________________________________________
Legal Description(s): _________________________________________________________________________________________
__________________________________________________________________________________________________________
Meeting with Planner/Technician:
(Who with and when you met)
Indicate (X) the type of application:
Rezoning …………………………………………….._________ Natural Features Development Permit……………………….._________
OCP Amendment………………………………..…_________ Watercourse Development Permit………………………………_________
Temporary Use Permit……………………………_________ Form and Character Development Permit .. …………………._________
Subdivision …………………………………………. _________ Development Variance Permit ………………….……………….._________
Phased Strata ………………………………………._________ Wildfire Development Permit …………………..…………………_________
Heritage Alteration/Designation Permit ________ Minor Amendment Development Permit ……………………._________
Project Description:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
(If applying for a DVP, please list all variances requested)
This application is made with my full knowledge and consent.
Registered Owner’s Name(s):
Print Name Signature
Print Name Signature
By signing this application form, the applicant/owner attests that the information provided on this and supplemental application forms for land use permits from
the City of Maple Ridge is true and correct to the best of his/her knowledge. Any material falsehood or any omission of a material fact made by the
applicant/owner with respect to this application may result in an issued permit becoming null and void.
This application is made with full knowledge that I am the sole agent for the owner(s) and will be the only contact with Municipal
Planning Staff.
Applicant’s Signature: Date:
In order for an application to be considered complete, please ensure that the plans and support documents required
under the Development Applications Submission Checklist are submitted with this application form.
SECTION B: (To be completed by Planning Staff)
File No: Previous File(s):
Present Zoning: Present OCP Designation:
Proposed Zoning: Proposed OCP Designation:
Application Fee: $ Receipt No.:
Date: Signature: