Municipal Recommendation Form
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1
2Government of Newfoundland and Labrador
Department of Municipal Affairs
MUNICIPAL RECOMMENDATION FORM FOR CROWN LANDS APPLICATIONS
WITHIN MUNICIPAL AND PLANNING AREA BOUNDARIES
THIS FORM IS MUST BE SUBMITTED WITH YOUR CROWN LANDS APPLICATION TO THE APPROPRIATE REGIONAL OFFICE.
THIS FORM MUST BE RETURNED FULLY COMPLETED AND ACCOMPANIED BY MAPPING TO SCALE, SIGNED BY A PERSON
AUTHORIZED TO ACT ON BEHALF OF THE MUNICIPALITY.
TO BE COMPLETED BY APPLICANT – PART A
NAME OF APPLICANT
DATE OF APPLICATION
MAILING ADDRESS
CITY/TOWN
PROVINCE
POSTAL CODE
HOME TELEPHONE
BUSINESS TELEPHONE
FACSIMILE
LAND TO BE USED FOR
LOCATION OF LAND
DIMENSIONS OF LAND
FRONTAGE
DEPTH
TO BE COMPLETED BY MUNICIPAL COUNCIL – PART B
DOES YOUR COMMUNITY HAVE
AN APPROVED MUNICIPAL PLAN
CONCEPT PLAN
NEITHER
ACCORDING TO THE DEVELOPMENT REGULATIONS THE AREA APPLIED FOR IS ZONED AS:
IS THE PROPOSED USE A:
PERMITTED USE
DISCRETIONARY USE
A USE NOT INCLUDED IN THE
DEVELOPMENT REGULATIONS
(ATTACH COPY OF ZONING MAP
SHOWING LOCATION OF SITE)
DOES THE PROPOSED USE CONFORM TO THE STANDARDS AND
CONDITIONS SET OUT IN THE DEVELOPMENT REGULATIONS?
YES
NO
DESCRIBE THE LAND USE
IN THE SURROUNDING AREA
RESIDENTIAL
COMMERCIAL
AGRICULTURE
UNUSED
OTHER
NORTH SIDE
EAST SIDE
SOUTH SIDE
WEST SIDE
IF THE PROPOSED USE WILL CONFLICT WITH EXISING LAND USE IN THE GENERAL AREA, PLEASE EXPLAIN
INDICATE WHICH OF THE FOLLOWING MUNICIPAL
SERVICES ARE AVAILABLE AT THE SITE
WATER AND SEWER
WATER ONLY
SEWER ONLY
NO SERVICES
DESCRIBE TYPE AND CONDITION
OF THE ROAD TO THE SITE
IS THE ROAD PRESENTLY
BY WHOM
MAINTAINED YEAR ROUND
YES
NO
COUNCIL
DEPT. OF TRANSP. AND WORKS
APPLICANT
WILL ROAD EXTENSION OR IMPROVEMENTS
BE NEEDED IF THE APPLICANTION IS APPROVED
YES
NO
IN THE OPINION OF THE COUNCIL,
THE LAND APPLIED FOR IS
CROWN
PRIVATE
OWNERSHIP UNCLEAR
IF PRIVATE OR OWNERSHIP UNCLEAR, EXPLAIN IN COMMENTS BELOW. ADDITIONALLY, IF SITE IS PRESENTLY OCCUPIED,
PLEASE GIVE DETAILS.
CONTINUED ON PAGE 2
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Parent category: Letters