General Inquiry Form

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GENERAL INQUIRY FORM
PRE-CONSULTATION FOR:
Official Plan Inquiry
Severance
Zoning By-law Inquiry
Minor Variance
DEVELOPMENT AND
Subdivision Inquiry
PROPERTY DEPARTMENT
____________________
Preconsultation is not pre-approval of an application. The County of Renfrew will respond to this inquiry with a Planning Checklist which
will identify the policies that would be considered in the review of a formal application. If a formal application is submitted, other policies
may also be identified at that time including those by a commenting agency or the public.
The County of Renfrew will endeavour to respond to this inquiry within 3 to 4 weeks. The response will be delayed if the information
required on this form is not fully completed.
OWNER / AGENT:
Date:
Lot:
Conc:
Name of Applicant (owner or agent):
Geographic Township:
(If agent, we require letter of authorization from the owner)
Telephone; Fax:
Municipality:
Address /
E-mail:
Access:
DESCRIPTION OF SUBJECT LAND:
Lot:
Conc:
Geographic Township:
Municipality:
Property Owner’s Name:
Civic Address:
SUMMARY OF PROPOSAL:
If proposal involves a severance, information regarding the land intended to be severed and the land to be retained is required:
Severed
Retained
Dimensions
Frontage (m)
Depth (m)
Area (ha)
Existing Use(s)
Use of the Property
Proposed Use(s)
Existing
Buildings or Structures
(Must be shown on sketch)
Proposed
ADDITIONAL INFORMATION:
Available Services (a if applicable)
Proposed Services (a if applicable)
Well
Municipal Water
Well
Municipal Water
Septic
Municipal Sewer
Septic
Municipal Sewer
Type of Road Access (a if applicable)
Provincial
County
Year-Round
Seasonal
Unregistered
Registered
Highway
Road
Municipal Road
Municipal Road
Private Road
Right-of-Way
Adjacent Farm Uses
Are there any barns within 1000 metres (0.62 miles) of subject property which house or are capable of housing livestock?
If yes, Minimum Distance Separation data sheets will need to be completed for those barns.
Yes
No
The forms are available at our office at the address below.
Sketch
(a sketch no larger than 8 ½ by 14 inches must be returned with this form and must include the following information)
Boundaries and dimensions of subject land
Boundaries, dimensions and area of lands to be severed and retained
Distance from all existing buildings and structures on subject property to nearest lot line
Distance between the subject land and nearest landmark (i.e. railway, road intersection, township lot line)
The approximate location of all natural and artificial features on the subject land and adjacent lands, such as watercourses, drainage ditches, river
or stream banks, wetlands and wooded areas
Location and name of any roads within or abutting the subject lands and indicate if it is an unopened road allowance, public travelled road, private
road or right-of-way
Location and nature of any easement(s) affecting the subject land
Return this form and your sketch by fax or mail to the attention of:
_______________________________________________
County of Renfrew - Development and Property Department - 9 International Drive - Pembroke, ON K8A 6W5
Toll Free Tel: 1-800-273-0183
Local Tel: (613) 735-3204
Fax: (613) 735-2492
P:\Data\COUNTY\D - DEVELOPMENT & PLANNING\D00 DEVELOPMENT & PLANNING - GENERAL\INQUIRY-RESPONSE\GENERAL INQUIRY FORM Feb 07.doc

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